# JEFFREY PETTY, DPM, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corsicana Foot Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982628533
- **Authorized official:** DR. JEFFREY SCOTT PETTY DPM (OWNER)
- **Authorized official phone:** (903) 872-9910

## Contact information

- **Practice address:** 3229 W 7TH AVE, CORSICANA, TX 75110-4817
- **Practice address phone:** (903) 872-9910
- **Practice address fax:** (903) 874-8829
- **Mailing address:** PO BOX 1774, CORSICANA, TX 75151-1774
- **Mailing address phone:** (903) 872-9910
- **Mailing address fax:** (903) 874-8829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1499 | TX | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 07/21/2015