NPIMap

Organization Active NPI

Strategic Medical Group TX PLLC

  • Primary Care Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1609552249
Registry record updated Jun 27, 2023
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
800 8TH Ave Ste 626
Fort Worth, TX 76104-2605
Phone
(817) 243-7995
Fax
(844) 573-3209
NPI assigned
Jun 27, 2023
Organization subpart
Yes
Parent organization
STRATEGIC MEDICAL GROUP TX PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Omar F Selod, MD
Title
Sole Owner
Phone
(817) 243-7995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

800 8TH Ave Ste 626
Fort Worth, TX 76104-2605

Mailing address

7101 Bryant Irvin Rd # 33292
Fort Worth, TX 76132-4135
Phone (817) 433-5155

Other names 1

  • Palm Primary Care Texas Medical District Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Strategic Medical Group TX11 organizations share this tax ID, including this one
Part of
Strategic Medical Group TX

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1609552249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 BRYANT IRVIN RD # 33292",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324135",
            "telephone_number": "817-433-5155",
            "fax_number": "844-573-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 626",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042605",
            "telephone_number": "817-243-7995",
            "fax_number": "844-573-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC MEDICAL GROUP TX PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STRATEGIC MEDICAL GROUP TX PLLC",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "SELOD",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "817-243-7995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Primary Care Texas Medical District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 27, 2023; 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.