Strategic Medical Group Tx PLLC
Clinic/Center, Primary Care in Dallas, TX. Organization (NPI-2).
NPI number1962265082
StatusActive
Last updated in NPPESFeb 1, 2024
Details
- NPI
- 1962265082
- Entity type
- Organization (NPI-2)
- Legal business name
- Strategic Medical Group Tx PLLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2024
- Certification date
- Feb 1, 2024
- Last updated
- Feb 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
3920 W Wheatland Rd Ste 152Dallas, TX 75237-3404
Phone 214-467-0432
Mailing address
7101 Bryant Irvin Rd Ste 33292Fort Worth, TX 76132-4135
Authorized official
Omar F Selod
Owner
8173367188
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