STRATEGIC MEDICAL GROUP TX PLLC NPI 1851154983

NPI Information

  • NPI: 1851154983
  • Provider Name: STRATEGIC MEDICAL GROUP TX PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 45D0870403
  • Address: 545 W WHEATLAND RD
    DUNCANVILLE, TX
    ZIP 75116
  • Phone: (972) 298-7191

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NPI Details

STRATEGIC MEDICAL GROUP TX PLLC is a primary care clinic center in Duncanville, TX. STRATEGIC MEDICAL GROUP TX PLLC NPI is 1851154983. The provider is registered as an organization entity type.

The provider's business location address is:

545 W WHEATLAND RD
DUNCANVILLE, TX
ZIP 75116-515
Phone: (972) 298-7191

The provider's authorized official is Omar F Selod .
The authorized official title is Owner and has the following contact phone number (817) 336-7188.

The CLIA number assigned to this NPI record is 45D0870403 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2024 and was last updated on 2/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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