| Paul Wesolow Md | |
|
517 S Hwy 326 Sour Lake TX 77659 | |
| (409) 287-2762 | |
| Not Available |
| Full Name | Paul Wesolow Md |
|---|---|
| Speciality | Family Medicine |
| Location | 517 S Hwy 326, Sour Lake, Texas |
| Authorized Official Name and Position | Paul Wesolow (PAUL WESOLOW MD) |
| Authorized Official Contact | 4092872762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Wesolow Md Po Box 949 Sour Lake TX 77659 Ph: (409) 287-2762 | Paul Wesolow Md 517 S Hwy 326 Sour Lake TX 77659 Ph: (409) 287-2762 |
| NPI Number | 1407977960 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407977960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J1812 (Texas) | Primary |