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Dewitt Charles Fortenberry, MD
General Practice Physician in Texarkana, Texas
NPI 1114960473

Dewitt Charles Fortenberry is a General Practice Physician based in Texarkana, TX. Dewitt Charles Fortenberry practices in Texarkana, TX and has the professional credentials of MD. The NPI Number for Dewitt Charles Fortenberry is 1114960473 and holds a License No. L8691 (Texas).

The current practice location address for Dewitt Charles Fortenberry is 2602 Saint Michael Dr, Texarkana, TX and can be reached out via phone at 903-336-2391.

Location: 2602 Saint Michael Dr, Texarkana, TX, 75501-0006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114960473
Provider Name
Dewitt Charles Fortenberry
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2602 Saint Michael Dr, Texarkana, TX, 75501-0006
Phone Number
903-336-2391
Fax Number
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
167594401 05 TX
institution
Provider Business Practice Location Address Details
Address
2602 Saint Michael Dr
City
Texarkana
State
Texas
Zip
75503-2387
Phone Number
903-336-2391
Fax Number
person
Provider Business Mailing Address Details
Address
2602 Saint Michael Dr
City
Texarkana
State
Texas
Zip
75503-2387
Phone Number
903-336-2391
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
L8691 (Texas)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
L8691 (Texas)
Definition
Definition to come...
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