Precision Vein & Aesthetic Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

K0106 Issued in TX

Legal business name

PRECISION VEIN & AESTHETIC CENTER

Practice address

6750 West Loop S Ste 830
Bellaire, TX 77401-4117

Phone

(713) 592-6545

Fax

(713) 751-0605

NPI assigned

Feb 6, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Omar Vidal, M.D.,

Title

Pain Specialist

Phone

(713) 592-6545

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1457742876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 WEST LOOP S STE 830",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014117",
            "telephone_number": "713-592-6545",
            "fax_number": "713-751-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 WEST LOOP S STE 830",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014117",
            "telephone_number": "713-592-6545",
            "fax_number": "713-751-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION VEIN & AESTHETIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PAIN SPECIALIST",
        "authorized_official_telephone_number": "713-592-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K8553",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K0106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIN MANAGEMENT CLINIC",
            "identifier": "1083635841",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.