Individual provider · Type 1 NPI

Glenn G. Petty, D.P.M.

Podiatrist · Texarkana, TX

NPI number 1104861160 Active

Practice location

5510 Summerhill Rd
Texarkana, TX 75503-1822

Fax (903) 831-7357

Mailing address

PO Box 6579
Texarkana, TX 75505-6579

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000X180 (AR)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

3 other providers at this address

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About NPI 1104861160

Glenn G. Petty, D.P.M.'s National Provider Identifier is 1104861160, issued on Jun 16, 2006. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Texarkana, TX. The record was last updated on Aug 5, 2008.