P Praxis·MD
● Active Type 2 · Organization

Medeval, Llc

General Practice·Texarkana, TX· NPI 1740548346 · Enumerated 2012 · 14 years on NPI
Medeval, Llc is 1 of 2087 general practice organizations in Texas.
NPI age
14 years
Enumerated 2012-05-02
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
📞 9037923812
Mailing address
116 Westlake Rd
Texarkana, TX 755010006
📞 9032937093

Additional practice locations

1 secondary location on file with NPPES.

Location 2
116 Westlake Rd
Texarkana, TX 755010006
📞 9032937093

Authorized official

Dewitt Charles Fortenberry, MD
Medical Director
📞 3016415512

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

Practice context

Multi-site organization. 1 additional practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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