Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Renee Delise Pettis, PA-C

Individual provider Medical Physician Assistant · NPI 1568504827

Renee Delise Pettis, PA-C is a Medical Physician Assistant in Houston, Texas. Practices as a sole proprietor. Licensed in District of Columbia, Louisiana and Texas.

Licensed in
DC, LA, TX
In the registry since
2007
Specialties on file
5
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

412 Telephone Rd
Houston, TX 77023-1840
Phone: (713) 926-6229
Fax: (713) 926-9105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07388 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 247 (DC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.200446 (LA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA247 (DC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA07388 (TX)

Record details

NPI number1568504827
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 13, 2007
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients25
Services billed 62 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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