Paul Wesolow MD

NPI #1407977960 in Sour Lake, Texas

Provider Information

NPI Number: 1407977960
Entity Type: Organization
Organization Name: Paul Wesolow MD
Primary Specialty: Family Medicine
Enumeration Date: Apr 3, 2007
Last Updated: Mar 6, 2008

Practice Location

Address: 517 S HWY 326
City: Sour Lake
State: Texas
ZIP Code: 77659
Phone: (409) 287-2762

Authorized Official

Name: PAUL WESOLOW, MD
Title: PAUL WESOLOW MD
Phone: (409) 287-2762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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