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PAUL WESOLOW MD NPI 1407977960


NPI Information

NPI: 1407977960
Provider Name: PAUL WESOLOW MD

Other Name: SOUR LAKE FAMILY MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
517 S HWY 326
SOUR LAKE, TX
ZIP 77659
Phone: (409) 287-2762
Get Directions

PAUL WESOLOW MD is a family medicine in Sour Lake, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PAUL WESOLOW MD NPI is 1407977960. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Sour Lake Family Medical.

The provider's business location address is:

517 S HWY 326
SOUR LAKE, TX
ZIP 77659
Phone: (409) 287-2762

The provider's authorized official is Paul Wesolow .
The authorized official title is Paul Wesolow Md and has the following contact phone number (409) 287-2762.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 3/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineJ1812TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F28992MEDICARE UPIN
2K34ZMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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