Selod, Omar F

Selod, Omar F is an individual health care provider with primary practice located at 5632 Edwards Ranch Rd Ste 100 , Fort Worth TX 76109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Selod, Omar F can be contacted via phone (817) 336-7188.

Contact Information

Primary practice address
5632 Edwards Ranch Rd Ste 100 Fort Worth TX 76109
Phone: (817) 336-7188
Fax: (844) 231-8865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X K9414 Texas

Profile Details

NPI number 1962471607
LBN Legal business name Selod, Omar F
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jun 16th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962471607 NPPES
Texas MEDICAID 145433201
Texas Other 00154Q

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