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Organization

MEDWAY BIOLOGICS LLC

Active
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Organization

MEDWAY BIOLOGICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY WAGGONER (PRESIDENT)
(214) 202-1023
Entity
Organization

Contact information

Practice address
2041 GLENWOOD CIR, CORSICANA, TX 75110-3419
(214) 202-1023
Mailing address
2041 GLENWOOD CIR, CORSICANA, TX 75110-3419
(214) 202-1023

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—

Other

Enumeration date
07/20/2023
Last updated
08/30/2023
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