Southwest Center Medical PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F7964 Issued in TX

Legal business name

SOUTHWEST CENTER MEDICAL PA

Practice address

7125 Marvin D Love Fwy
Suite 107
Dallas, TX 75237-3175

Phone

(972) 572-5000

Fax

(972) 572-9448

NPI assigned

Aug 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward Frank Wolski, MD

Title

Ceo

Phone

(972) 572-5000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1871786772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 MARVIN D LOVE FWY",
            "address_2": "SUITE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373175",
            "telephone_number": "972-572-5000",
            "fax_number": "972-572-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 MARVIN D LOVE FWY",
            "address_2": "SUITE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373175",
            "telephone_number": "972-572-5000",
            "fax_number": "972-572-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CENTER MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "WOLSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-572-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F7964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southhaven Enterprises, LLC
• Southhwest Vein Institute
• Southwest Anesthesia & Joint Pain Management, PLLC
• Southwest Anesthesiology Associates, LLP
• Southwest Behavioral Systems Inc
• Southwest Central Wound Care Clinic PLLC
• Southwest Child and Family Medicine, P.a.
• Southwest Dallas Orthopedic Asst PA
• Southwest Electrodiagnostic Center LLC
• Southwest ENT Associates PA

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.