# SOUTH WEST CENTER MEDICAL PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699979658
- **Authorized official:** EDWARD WOLSKI M.D. (DIRECTOR)
- **Authorized official phone:** (972) 572-5000

## Contact information

- **Practice address:** 7125 MARVIN D LOVE FWY, SUITE 107, DALLAS, TX 75237-3175
- **Practice address phone:** (972) 572-5000
- **Practice address fax:** (972) 572-9448
- **Mailing address:** 7125 MARVIN D LOVE FWY, SUITE 107, DALLAS, TX 75237-3175
- **Mailing address phone:** (972) 572-5000
- **Mailing address fax:** (972) 572-9448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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