NPIMap

Organization Active NPI

Strategic Medical Group TX PLLC

  • Primary Care Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1730956038
Registry record updated Dec 6, 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
4160 Heritage Trace Pkwy Ste 400
Fort Worth, TX 76244-5313
Phone
(682) 207-5706
Fax
(682) 226-6557
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Omar F Selod, MDNPI 1962471607
Title
Sole Owner
Phone
(817) 336-7188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4160 Heritage Trace Pkwy Ste 400
Fort Worth, TX 76244-5313

Mailing address

7101 Bryant Irvin Rd # 33292
Fort Worth, TX 76132-4135
Phone (817) 721-3145

National Provider Directory

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

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1730956038",
    "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": "817-721-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 HERITAGE TRACE PKWY STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445313",
            "telephone_number": "682-207-5706",
            "fax_number": "682-226-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC MEDICAL GROUP TX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "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": "817-336-7188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "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 Dec 6, 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.