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Organization
SOUTH WEST CENTER MEDICAL PA
Active
Organization
SOUTH WEST CENTER MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WOLSKI M.D. (DIRECTOR)
(972) 572-5000
Entity
Organization
Contact information
Practice address
7125 MARVIN D LOVE FWY, SUITE 107, DALLAS, TX 75237-3175
(972) 572-5000
(972) 572-9448
Mailing address
7125 MARVIN D LOVE FWY, SUITE 107, DALLAS, TX 75237-3175
(972) 572-5000
(972) 572-9448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
F7964
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
F7964
TX
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/13/2007
Last updated
03/02/2015
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