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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
106H00000X
Marriage & Family Therapist
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
F7964
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
208VP0000X
Pain Medicine Physician
F7964
TX
225X00000X
Occupational Therapist
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
06/13/2007
Last updated
03/02/2015
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