Organization
MEDWAYUSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD FEASTER (OWNER)
(979) 337-4485
Entity
Organization
Contact information
Practice address
928 CROWDER DR, CROWLEY, TX 76036-3657
(817) 506-7998
(817) 506-3294
Mailing address
PO BOX 449, CROWLEY, TX 76036-0449
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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