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Glenn Petty, D.P.M.
NPI 1104861160 · Podiatrist · Texarkana, TX
Glenn Petty, D.P.M. is a Podiatrist provider in Texarkana, TX (NPI 1104861160).
Provider details
- NPI number
- 1104861160
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 180 (AR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5510 Summerhill Rd
Texarkana, TX 75503-1822
Phone: (903) 792-2710
Fax: (903) 831-7357
Street-level locationGet directions
Mailing address
Po Box 6579
Texarkana, TX 75505-6579
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2008-08-05
Frequently asked questions
- What is Glenn Petty's NPI number?
- Glenn Petty's National Provider Identifier (NPI) is 1104861160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenn Petty's specialty?
- Glenn Petty is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Glenn Petty located?
- Glenn Petty's practice location on file with NPPES is 5510 Summerhill Rd, Texarkana, TX 75503-1822.
- What is Glenn Petty's phone number?
- The practice phone number listed in the NPPES registry for Glenn Petty is (903) 792-2710.
- Is Glenn Petty's NPI active?
- Yes — Glenn Petty's NPI (1104861160) is active in the NPPES registry as of the last update on 2008-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.