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OMAR D. VIDAL M.D. P.L.L.C. NPI 1770705865


NPI Information

NPI: 1770705865
Provider Name: OMAR D. VIDAL M.D. P.L.L.C.

Doing Business As: OMAR D. VIDAL M.D. P.L.L.C.

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
2105 JACKSON ST
HOUSTON, TX
ZIP 77003
Phone: (713) 751-0631
Get Directions

OMAR D. VIDAL M.D. P.L.L.C. is an interventional pain medicine pain medicine in Houston, TX. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. OMAR D. VIDAL M.D. P.L.L.C. NPI is 1770705865. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Omar D. Vidal M.d. P.l.l.c..

The provider's business location address is:

2105 JACKSON ST
HOUSTON, TX
ZIP 77003-839
Phone: (713) 751-0631
Fax: (713) 751-0605

The provider's authorized official is Omar Damaso Vidal .
The authorized official title is Director and has the following contact phone number (713) 751-0631.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 1/7/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyK8553TEXASNo
2208VP0000XPain MedicinePain MedicineK8553TEXASNo
3208VP0014XPain MedicineInterventional Pain MedicineK8553TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P080565G5MEDICAIDTEXAS
28L25485MEDICARE PINTEXAS
380565GMEDICARE ID-TYPE UNSPECIFIEDTEXAS
4G75658MEDICARE UPINTEXAS

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: 4/28/2024

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