All Medicaid billing entities listing FORTENBERRY, DEWITT (MEDICAL DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Texas | 1 | $464.68 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MEDEVAL, LLC | TEXARKANA, TX | General Practice Physician | $464.68 |