Glen Ross Pettenger, PA-C
Medical Physician Assistant · Centerville, TX
Glen Ross Pettenger, PA-C is a medical physician assistant with a practice address in Centerville, Texas, and NPI 1801910609, issued on Mar 19, 2007. Check the license (Texas PA00952, as entered in NPPES) with the Texas board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Glen Ross Pettenger
- Credential
- PA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- PA00952 TX
Self-reported in NPPES; status is on the state search - Practice location
- 102 West Main Street, Centerville, TX 75833
- Phone
- (903) 536-2313
- Enumerated
- Mar 19, 2007
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (903) 536-2207
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 2,146 in Texas → Look up another NPI →
Verify Glen Ross Pettenger in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license PA00952Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Glen Ross Pettenger among 2,146 medical physician assistant records in Texas
Glen Ross Pettenger, PA-C is one of 2,146 medical physician assistant records with a practice address in Texas. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 27% of them.
- NPI issued2007 · 27% of these records are older, 64% newer
- In a Medicare fileNo · 68% of these records are
- In the CMS Doctors and Clinicians fileNo · 44% of these records are
- Record last updated2007 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in Texas
There are 2,146 medical physician assistant records in Texas. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,146 in Texas → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Barbara Taylor, PAElkhart, TX 758391962540096
- Jack Runyan, PA, PHDFairfield, TX 758401245476282
- Keith Jones, PA-CGroveton, TX 758451811178031
- David Price, PA-CTrinity, TX 758621023112299
- Klaus Kuehl, P.A.Palestine, TX 758011992764146
- Shane Howatt, PALufkin, TX 759011578572152
- Joshua Talbert, PA-CLufkin, TX 759011073525671
- Aaron Dudley, PA-CLufkin, TX 759041811072168
Common questions
What is Glen Ross Pettenger, PA-C's NPI number?
Glen Ross Pettenger, PA-C's National Provider Identifier (NPI) is 1801910609, issued on Mar 19, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Glen Ross Pettenger, PA-C located?
The NPPES record lists a practice address at 102 West Main Street, Centerville, TX, 75833. Phone: (903) 536-2313. Providers update this record themselves, so call before visiting.
How can I verify Glen Ross Pettenger, PA-C's license?
NPPES lists Texas license number PA00952, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.