Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glenn G Petty, DPM

Individual provider Podiatrist · NPI 1104861160

Dr. Glenn G Petty, DPM is a Podiatrist in Texarkana, Texas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

5510 Summerhill Rd
Texarkana, TX 75503-1822
Phone: (903) 792-2710
Fax: (903) 831-7357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 180 (AR)

Record details

NPI number1104861160
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 16, 2006
Last updated in NPPESAugust 5, 2008

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