Elvin W Fenton (NPI# 1215920442, PAC ID# 1052205465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1215920442 |
| PAC ID by PECOS | 1052205465 |
| Professional Enrollment ID | I20110901000194 |
| Full Name | Elvin W Fenton |
| Organization Legal Name | MED SOUTHWEST PLLC |
| Address |
2703 Richmond Rd Texarkana TX 75503-2328 |
| Phone Number | 9038380783 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4082952874 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 301 Professional Park Dr, Suite A, Arkadelphia, AR 71923-5317 | 9038380783 | MED SOUTHWEST PLLC |
| 1425 E Lincoln Rd, A1 Med Southwest Pllc Dba Texarkana E, Idabel, OK 74745-7345 | 5802866000 | MED SOUTHWEST PLLC |
| 2703 Richmond Rd, Texarkana, TX 75503-2328 | 9038380783 | MED SOUTHWEST PLLC |
| Organization Legal Name | MED SOUTHWEST PLLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack A Greenan | Optometry | Med Southwest Pllc | 2510 N Hervey St, Med Southwest Pllc Dba Texarkana E, Hope, AR 71801-8419 |
| Susan L Williams | Optometry | Med Southwest Pllc | 114 E 49th St, Med Southwest Pllc Dba Texarkana E, Texarkana, AR 71854-2117 |
| Thomas M Dvorak | Optometry | Med Southwest Pllc | 1606 S Jefferson Ave, Mt Pleasant, TX 75455-5614 |
| James S Simpson | Optometry | Med Southwest Pllc | 310 Thompson Ave, El Dorado, AR 71730-4569 |
| Clemit W Liles Iii | Optometry | Med Southwest Pllc | 208 Morrow St S, Mena, AR 71953-2510 |
| Donald R Glenz | Optometry | Med Southwest Pllc | 6127 Fm 1960 Rd W, Houston, TX 77069-4106 |
| Brad R Aaron | Optometry | Med Southwest Pllc | 2703 Richmond Rd, Texarkana, TX 75503-2328 |
| Nicholas Joseph Mccolley | Optometry | Med Southwest Pllc | 2703 Richmond Rd, Texarkana, TX 75503-2328 |
| Clemit W Liles Jr. | Optometry | Med Southwest Pllc | 208 Morrow St S, Mena, AR 71953-2510 |
| Tiffaney J Tregellas | Optometry | Med Southwest Pllc | 8329 Whitley Rd, Watauga, TX 76148-2483 |
| Street Address |
2703 RICHMOND RD |
| City | TEXARKANA |
| State | TX |
| Zip | 75503-2328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad R Aaron | Optometry | Med Southwest Pllc | 2703 Richmond Rd, Texarkana, TX 75503-2328 |
| Nicholas Joseph Mccolley | Optometry | Med Southwest Pllc | 2703 Richmond Rd, Texarkana, TX 75503-2328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Henry Pappas | Family Practice | Collom and Carney Clinic | 4110 Richmond Pl, Texarkana, TX 75503-0001 |
| Puifun Lila Pappas | Family Practice | Collom and Carney Clinic | 4110 Richmond Pl, Texarkana, TX 75503-0001 |
| Trevor J Swanson | Chiropractic | Swanson Family Chiropractic P.C. | 4206 Richmond Place, Texarkana, TX 75503-0003 |
| Justin C Jobe | Chiropractic | Swanson Family Chiropractic P.C. | 4206 Richmond Place, Texarkana, TX 75503-0003 |
| Michael C Saldino | Podiatry | 4104 Richmond Mdws, Texarkana, TX 75503-0067 | |
| Chad Allen Jennings | Occupational Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
| Gary Douglas Buckley | Physical Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
| Rachel Ann Grimmett | Physical Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
| Phillip Granville Pace | Family Medicine | C H Wilkinson Physician Network | 3502 Richmond Rd, Texarkana, TX 75503-0705 |
| Priyal Patel | Family Medicine | C H Wilkinson Physician Network | 3502 Richmond Rd, Texarkana, TX 75503-0705 |
| Find all physicians in zip 75503 | |||
| City | TEXARKANA |
| Zip Code | 75503 |
| Specialty | OPTOMETRY |
| City + Specialty | TEXARKANA + OPTOMETRY |
Please comment or provide details below to improve the information on Elvin W Fenton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.