Omar D. Vidal M.D. P.L.L.C.
LBN: Omar D. Vidal M.D. P.L.L.C.
Omar D. Vidal M.D. P.L.L.C. is an health care organization with primary practice located at 2105 Jackson St , Houston TX 77003-5839. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
Omar D. Vidal M.D. P.L.L.C. can be contacted via phone (713) 751-0631, or through Vidal, Omar Damaso via phone (713) 751-0631.
Contact Information
Primary practice address
2105 Jackson St
Houston TX 77003-5839
Phone: (713) 751-0631
Fax: (713) 751-0605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | K8553 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | K8553 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | K8553 | Texas |
Profile Details
| NPI number | 1770705865 |
|---|---|
| LBN Legal business name | Omar D. Vidal M.D. P.L.L.C. |
| DBA Doing business as | Omar D. Vidal M.D. P.L.L.C. |
| Authorized official | Vidal, Omar Damaso Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jan 7th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770705865 | NPPES |
| Texas | MEDICAID | P080565G5 |
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