Individual provider · Type 1 NPI

Dewitt Charles Fortenberry, MD

General Practice Physician · Texarkana, TX

NPI number 1114960473 Active

Practice location

2602 Saint Michael Dr, Suite 302
Texarkana, TX 75503-2387

Call (903) 336-2391 Map

Mailing address

116 Westlake Rd
Texarkana, TX 75501-0006

Other practice locations

  • 4920 Elizabeth St, Texarkana, TX 75503-2912 · (903) 792-3812

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XL8691 (TX)
General Practice Physician Primary 208D00000XL8691 (TX)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

13 other providers at this address

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About NPI 1114960473

Dewitt Charles Fortenberry, MD's National Provider Identifier is 1114960473, issued on Jun 14, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Texarkana, TX. The record was last updated on Sep 17, 2023.