P Praxis·MD
● Active Type 1 · Individual

DR. Glenn G Petty, D.P.M.

Podiatrist·Texarkana, TX· NPI 1104861160 · Enumerated 2006 · 19 years on NPI
Petty is 1 of 7 podiatrist providers in Texarkana and 1 of 957 in Texas.
NPI age
19 years
Enumerated 2006-06-16
Primary specialty
Podiatrist
Licensed in
AR
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-08-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 957 active podiatrist providers in Texas.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
5510 Summerhill Rd
Texarkana, TX 755031822
📞 9037922710fax 9038317357
Mailing address
Po Box 6579
Texarkana, TX 755056579
📞 8708637080fax 9037923286

Specialties

  • Podiatrist Primary
    A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
    AR license #180 taxonomy 213E00000X

Identifiers

TypeValueNotes
05 (TX) 018576101
01 (TX) P00349253 RAILROAD-TX
05 (AR) 134175717
01 (AR) P00129576 RAILROAD-AR

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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