P Praxis·MD
● Active Type 1 · Individual

Dewitt Charles Fortenberry, MD

General Practice·Texarkana, TX· NPI 1114960473 · Enumerated 2006 · 19 years on NPI
Fortenberry is 1 of 8 general practice providers in Texarkana and 1 of 2087 in Texas.
NPI age
19 years
Enumerated 2006-06-14
Primary specialty
General Practice
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2087 active general practice providers in Texas.

NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
2602 Saint Michael Dr, Suite 302
Texarkana, TX 755032387
📞 9033362391
Mailing address
116 Westlake Rd
Texarkana, TX 755010006
📞 9032937093

Additional practice locations

1 secondary location on file with NPPES.

Location 2
4920 Elizabeth St
Texarkana, TX 755032912
📞 9037923812

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    TX license #L8691 taxonomy 208D00000X
  • Emergency Medicine
    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....
    TX license #L8691 taxonomy 207P00000X

Identifiers

TypeValueNotes
05 (TX) 167594401

Practice context

Part of a multi-provider practice. 13 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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