Holly Sue Glover, PA-C
Physician Assistant in Frisco, TX. Individual provider (NPI-1).
NPI number1508104589
StatusActive
Last updated in NPPESMay 13, 2026
Details
- NPI
- 1508104589
- Entity type
- Individual (NPI-1)
- Name
- Holly Sue Glover
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2013
- Certification date
- May 13, 2026
- Last updated
- May 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA08301 | TX | Yes |
Practice location
4685 Eldorado Pkwy Ste 100Frisco, TX 75033-0289
Phone 972-335-2727 · Fax 469-532-0273
Mailing address
9900 N Central Expy Ste 500Dallas, TX 75231-0928
Phone 214-987-3376 · Fax 469-532-0273
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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