Provider Demographics
NPI:1154627917
Name:CROWLEY TOTAL WELLNESS PA
Entity Type:Organization
Organization Name:CROWLEY TOTAL WELLNESS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAADE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-295-8550
Mailing Address - Street 1:1005 S CROWLEY RD
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-3698
Mailing Address - Country:US
Mailing Address - Phone:817-295-8550
Mailing Address - Fax:817-295-3022
Practice Address - Street 1:1005 S CROWLEY RD
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-3698
Practice Address - Country:US
Practice Address - Phone:817-295-8550
Practice Address - Fax:817-295-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty