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NPI Code Detail

MEDICARE: STRATEGIC MEDICAL GROUP TX PLLC

MEDICARE: STRATEGIC MEDICAL GROUP TX PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1063361533
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRATEGIC MEDICAL GROUP TX PLLC
Provider Business Mailing Address
First Line : 4400 OAK PARK LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-9534
Country : US
Telephone Number : 817-985-7772
Fax Number :
Provider Business Practice Location Address
First Line : 4510 N MACARTHUR BLVD STE 100
Second Line :
City : IRVING
State : TX
Zip : 75038-1235
Country : US
Telephone Number : 214-879-7800
Fax Number :
Authorized Official
Title or Position : OWNER
Name : OMAR F SELOD
Credential :
Telephone Number : 817-336-7188
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “STRATEGIC MEDICAL GROUP TX PLLC ” Practice Location

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