NPIMap

Organization Active NPI

Strategic Medical Group TX PLLC

  • Primary Care Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1053027680
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
STRATEGIC MEDICAL GROUP TX PLLC
Practice address
6317 Harris Pkwy Ste 450
Fort Worth, TX 76132-4256
Phone
(817) 433-5155
Fax
(817) 433-5177
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Fowad Choudhry
Title
Managing Employee
Phone
(817) 721-3145

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6317 Harris Pkwy Ste 450
Fort Worth, TX 76132-4256

Mailing address

4400 Oak Park LN
Fort Worth, TX 76109-9534
Phone (617) 985-7772

Other practice location 1

4045 E Belknap St Ste 12
Haltom City, TX 76111-6637
Phone (817) 759-2315

Other practice location 2

4400 Oak Park Ln
Ft Worth, TX 76109-9534
Phone (817) 985-7772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230515002929 TX Part B Supplier - Clinic/Group Practice 1355707423 Receives reassigned benefits from 41 practitioners
Practice locations: Azle, TX; Mansfield, TX; Haltom City, TX; Fort Worth, TX; Duncanville, TX; Dallas, TX

National Provider Directory

National Provider Directory

Locations

909 Southeast Pkwy
Ste 105
Azle, TX 76020
Phone (817) 237-0390

909 Southeast Pkwy
Azle, TX 76020
Phone (817) 238-0735

4160 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (817) 379-5511

6317 Harris Pkwy
Ste 450
Fort Worth, TX 76132

4045 E Belknap St
Haltom City, TX 76111
Phone (682) 707-9400

4510 N MacArthur Blvd
Ste 100
Irving, TX 75038
Phone (214) 879-7800

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1053027680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 OAK PARK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099534",
            "telephone_number": "617-985-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 HARRIS PKWY STE 450",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324256",
            "telephone_number": "817-433-5155",
            "fax_number": "817-433-5177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4045 E Belknap St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Haltom City",
            "state": "TX",
            "postal_code": "761116637",
            "country_code": "US",
            "telephone_number": "817-759-2315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 Oak Park Ln",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761099534",
            "country_code": "US",
            "telephone_number": "817-985-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STRATEGIC MEDICAL GROUP TX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "CHOUDHRY",
        "authorized_official_first_name": "FOWAD",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "817-721-3145"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.