Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN G PETTY, D.P.M.
Active Sole ProprietorDR. GLENN G PETTY, D.P.M. is a Podiatrist healthcare provider located in TEXARKANA, Texas. NPI 1104861160 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · TEXARKANA, TX
Registration Details
- NPI Number
- 1104861160
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2006 (20.172205059665 yrs)
- Last Updated
- Aug 5, 2008
- License
-
180 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5510 SUMMERHILL RDTEXARKANA, TX, 755031822Browse TX providers · Browse ZIP 75503
- Phone
- 9037922710
- Fax
- 9038317357
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in TEXARKANA, TX
| Name | Credential | NPI |
|---|---|---|
| AUSTIN REEVES | D P M | 1962408674 |
| DR. JOHN MICHAEL WHITE | DPM | 1053311142 |
| MARY ALICE MARTIN | DPM | 1366829509 |
| RANYA BARRI | — | 1962922666 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.