Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEWITT CHARLES FORTENBERRY, MD
Active Sole ProprietorDEWITT CHARLES FORTENBERRY, MD is a General Practice healthcare provider located in TEXARKANA, Texas. NPI 1114960473 is currently active in the NPPES registry. Verify at CMS.
General Practice · TEXARKANA, TX
Registration Details
- NPI Number
- 1114960473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2006 (20.20161354359 yrs)
- Last Updated
- Sep 17, 2023
- Licenses
-
L8691 (TX)L8691 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2602 SAINT MICHAEL DRSUITE 302TEXARKANA, TX, 755032387Browse TX providers · Browse ZIP 75503
- Phone
- 9033362391
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in TEXARKANA, TX
| Name | Credential | NPI |
|---|---|---|
| RONALD DAVID RUSH | MD | 1184802381 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.