Vidal, Omar Damaso

Vidal, Omar Damaso is an sole proprietor health care provider with primary practice located at 4545 Bissonnet #110 , Bellaire TX 77401. He 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 his primary health care specialty. Vidal, Omar Damaso can be contacted via phone (713) 751-0633.

Contact Information

Primary practice address
4545 Bissonnet #110 Bellaire TX 77401
Phone: (713) 751-0633
Fax: (713) 751-0605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 1083635841
LBN Legal business name Vidal, Omar Damaso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated May 21st, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083635841 NPPES
Other 80180Y BCBS
Other 85491G BCBS
Other 0046CC BCBS
MEDICAID P080565G5 BCBS
MEDICAID 079696301 BCBS
Other 100841906 BCBS
Other 00747Y BCBS
Other 0004CG BCBS
Other 8E0572 BCBS
Other P081292GU BCBS

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