Dr. Glenn G Petty is a Texarkana, Texas based male podiatrist who is specialized in Podiatry. Active license number of Dr. Glenn G Petty for Podiatry is 180 in Arkansas. Dr. Glenn G Petty is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Glenn G Petty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Gender:
Male
Practice Address:
5510 Summerhill Rd, Texarkana, Texas, 75503-1822
Phone:
903-792-2710
Fax:
903-831-7357
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1104861160
NPI Enumeration Date:
16 Jun, 2006
NPI Last Update On:
05 Aug, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Glenn G Petty are as mentioned below.
License Number
Specialization
State
Status
180
Podiatry
Arkansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Glenn G Petty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
018576101
Medicaid
Texas
P00349253
Other
Texas
RAILROAD-TX
134175717
Medicaid
Arkansas
P00129576
Other
Arkansas
RAILROAD-AR
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 6579, Texarkana, Texas
Zip:
75505-6579
Phone Number:
870-863-7080
Fax Number:
903-792-3286
Patients can reach Dr. Glenn G Petty at 5510 Summerhill Rd, Texarkana, Texas or can call to book an appointment on 903-792-2710. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.