Individual
MS. OMAR F SELOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5632 EDWARDS RANCH RD STE 100, FORT WORTH, TX 76109
(817) 336-7188
(844) 231-8865
Mailing address
P O BOX 678615, DALLAS, TX 75267-8615
(817) 336-7188
(817) 335-9039
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K9414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00154Q
BCBS
—
05
—
145433201
—
TX
Enumeration date
03/15/2006
Last updated
06/16/2022
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