# OMAR F SELOD DO PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598734238
- **Authorized official:** DR. OMAR F SELOD DO (PRESIDENT)
- **Authorized official phone:** (817) 336-7188

## Contact information

- **Practice address:** 5632 EDWARDS RANCH RD STE 100, STE 506, FORT WORTH, TX 76109
- **Practice address phone:** (817) 336-7188
- **Practice address fax:** (817) 335-9039
- **Mailing address:** P O BOX 678615, DALLAS, TX 75267-8615
- **Mailing address phone:** (817) 336-7188
- **Mailing address fax:** (817) 335-9039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 06/16/2022