Omar D. Vidal M.D. P.L.L.C.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

K8553 Issued in TX

Legal business name

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

Doing business as

Omar D. Vidal M.D. P.L.L.C.

Practice address

2105 Jackson St
Houston, TX 77003-5839

Phone

(713) 751-0631

Fax

(713) 751-0605

NPI assigned

May 2, 2007

Last updated

Jan 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Omar Damaso Vidal, M.D.

Title

Director

Phone

(713) 751-0631

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• OMAR D. VIDAL M.D. P.L.L.C. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherolyn B Simmons, MD MPH

  • Anesthesiology Physician
  • Pasadena, TX
  • NPI 1982774154
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1770705865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 JACKSON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770035839",
            "telephone_number": "713-751-0631",
            "fax_number": "713-751-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 JACKSON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770035839",
            "telephone_number": "713-751-0631",
            "fax_number": "713-751-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR D. VIDAL M.D. P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "DAMASO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-751-0631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K8553",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "K8553",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K8553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P080565G5",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMAR D. VIDAL M.D. P.L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxwell Omabe, PHD, DABCC, FRCPATHI
• Ronan Eugene Omalley, MD
• Edson Omana
• Hezron Omanga, PHARM D
• Amina Omar Ali, LMSW
• Ashraf Omar, MD
• Karim Omar
• Marcia Omar
• Mohamed Abbas Omar, MD
• Yasmine Omar, PHD

• Interventional Pain Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.