NPI age
14 years
Enumerated 2012-05-02
● Active Type 2 · Organization
Medeval, Llc
Medeval, Llc is 1 of 2087 general practice organizations in Texas.
Primary specialty
General Practice
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Fortenberry
Medical Director
Last NPPES update
2023-09-17
Source: monthly bulk 2026-05
How this organization compares
Across 2087 active general practice providers in Texas.
NPI age
14 years
↑ 4 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-05Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
4920 Elizabeth St
Texarkana, TX 755032912
Mailing address
116 Westlake Rd
Texarkana, TX 755010006
Additional practice locations
1 secondary location on file with NPPES.
Location 2
116 Westlake Rd
Texarkana, TX 755010006
Authorized official
Dewitt Charles Fortenberry, MD
Medical Director
📞 3016415512
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Multi-site organization. 1 additional practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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