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Organization
PAUL WESOLOW MD
Active
Organization
PAUL WESOLOW MD
Active
Other names
Sour Lake Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WESOLOW MD (PAUL WESOLOW MD)
(409) 287-2762
Entity
Organization
Contact information
Practice address
517 S HWY 326, SOUR LAKE, TX 77659
(409) 287-2762
Mailing address
PO BOX 949, SOUR LAKE, TX 77659
(409) 287-2762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J1812
TX
Other
Enumeration date
04/03/2007
Last updated
03/06/2008
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