Medeval, Llc

LBN: Medeval, Llc
Medeval, Llc is an health care organization with primary practice located at 4920 Elizabeth St , Texarkana TX 75503-2912. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Medeval, Llc can be contacted via phone (903) 792-3812, or through Fortenberry, Dewitt Charles via phone (301) 641-5512.

Contact Information

Primary practice address
4920 Elizabeth St Texarkana TX 75503-2912
Phone: (903) 792-3812
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fortenberry, Dewitt Charles Doctor of Medicine (MD)
Phone: (301) 641-5512

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X L8691 Texas

Profile Details

NPI number 1740548346
LBN Legal business name Medeval, Llc
DBA Doing business as
Authorized official Fortenberry, Dewitt Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2012
Last updated Sep 17th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers