Individual
DR. GLENN G PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5510 SUMMERHILL RD, TEXARKANA, TX 75503-1822
(903) 792-2710
(903) 831-7357
Mailing address
PO BOX 6579, TEXARKANA, TX 75505-6579
(870) 863-7080
(903) 792-3286
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
180
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018576101
—
TX
05
—
134175717
—
AR
01
—
P00129576
RAILROAD-AR
AR
01
—
P00349253
RAILROAD-TX
TX
Enumeration date
06/16/2006
Last updated
08/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us