PAUL WESOLOW MD (NPI# 1407977960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407977960 |
| Entity Type | Organization |
| Organization Name | PAUL WESOLOW MD |
| Other Organization Name | SOUR LAKE FAMILY MEDICAL |
| Practice Address |
517 S Hwy 326 Sour Lake TX 77659 |
| Mailing Address |
Po Box 949 Sour Lake TX 77659 |
| Practice Telephone | 4092872762 |
| Mailing Telephone | 4092872762 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | PAUL WESOLOW (PAUL WESOLOW MD) |
| Authorized Official Telephone | 4092872762 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J1812 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sour Lake Family Medical | Other Name - Individual/Organization |
| Street Address |
517 S HWY 326 |
| City | SOUR LAKE |
| State | TX |
| Zip Code | 77659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508033507 | Paul Wesolow | Family Medicine | 317 Hwy 326 South, Sour Lake, TX 77659 | 2008-05-09 |
| 1306966197 | Shawn D Klinger | Specialist/Technologist | Highway 326, Sour Lake, TX 77659 | 2007-03-29 |
| 1811078827 | John H Shary IIi | Specialist | 8542 Wilkins Ranch Rd, Sour Lake, TX 77659 | 2006-10-17 |
| 1487756417 | Thomas C Perry | Emergency Medicine | 9971 Old Batson Saratoga Rd, Sour Lake, TX 77659 | 2006-09-01 |
| 1316915879 | Hardin County Emergency Service District No 5 | Ambulance | 711 6th St, Sour Lake, TX 77659 | 2006-03-10 |
| 1346511433 | Sour Lake Health & Medical, Pllc | Nurse Practitioner | 689 Sixth Street, Sour Lake, TX 77659-1870 | 2012-01-20 |
| 1952566838 | Sommer Kolander Shackelford | Nurse Practitioner | 689 Sixth St., Sour Lake, TX 77659-1870 | 2008-07-21 |
| 1710349121 | Karla Michelle Kicak | Speech-Language Pathologist | 445 Elm St, Sour Lake, TX 77659-2837 | 2016-03-24 |
| 1114248705 | Senior Preferred Homecare LLC | Home Health | 111 S Merchant St, Sour Lake, TX 77659-2901 | 2010-06-17 |
| 1821449208 | Lacey Ann Guedry | Nurse Practitioner | 689 6th Street, Sour Lake, TX 77659-7765 | 2016-06-27 |
| Find all providers in zip 77659 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508033507 | Paul Wesolow | Family Medicine | 317 Hwy 326 South, Sour Lake, TX 77659 | 2008-05-09 |
| 1790799807 | Charles R Wilson | Family Medicine | 327 Morris Rd W, Sour Lake, TX 77659-9774 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.