# PM&R FORT WORTH CLEARFORK PLLC

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

## Provider details

- **NPI number:** 1770385767
- **Authorized official:** DR. OMAR F SELOD DO (OWNER)
- **Authorized official phone:** (817) 336-7188

## Contact information

- **Practice address:** 5632 EDWARDS RANCH RD STE 102, FORT WORTH, TX 76109-4148
- **Practice address phone:** (817) 336-7188
- **Practice address fax:** (844) 231-8865
- **Mailing address:** 5632 EDWARDS RANCH RD STE 102, FORT WORTH, TX 76109-4148
- **Mailing address phone:** (817) 336-7188
- **Mailing address fax:** (844) 231-8865

## Taxonomy

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

## Other

- **Enumeration date:** 03/27/2025
- **Last updated:** 07/29/2025