MR. OMAR DAMASO VIDAL


Address: 6750 West Loop South, Ste 830, Bellaire, TX 77401
Phone: 7137510631

MR. OMAR DAMASO VIDAL (NPI# 1083635841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083635841
Entity Type Individual
Full Name MR. OMAR DAMASO VIDAL
Credential M.D.
Practice Address 6750 West Loop South, Ste 830
Bellaire
TX 77401
Practice Telephone 7137510631
Practice Fax Number 7137510605
Mailing Telephone 7137510631
Mailing Fax Number 7137510605
Enumeration Date 2006-07-21
Last Update Date 2013-11-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology K8553 TX Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
K8553 TX Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
K8553 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE PPMC GROUP # 0004CG 01
TX PAIN MANAGEMENT MEDICARE P081292GU 01
TX MEDICARE RPK GROUP # 0046CC 01
BCBS 80180Y 01
TX MEDICAID BEAUMONT 100841906 01
TX P080565G5 05
TX BEAUMONT MEDICARE GROUP 00747Y 01
TX BC/BS BEAUMONT 85491G 01
TX MEDICARE BEAUMONT 8E0572 01
TX 079696301 05

Office Location

Street Address 6750 WEST LOOP SOUTH, STE 830
City BELLAIRE
State TX
Zip Code 77401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1316423767 Nancy Abraham Pharmacist 5160 Bissonnet St, Bellaire, TX 77401 2018-07-18
1356856033 H-e-b, Lp Clinical Medical Laboratory 5106 Bissonnet St, Bellaire, TX 77401 2017-12-04
1457884371 Damian Duplechain Counselor 5959 West Loop 610 South, Suite 600, Bellaire, TX 77401 2017-04-07
1659804672 Stephanie Nelson Behavioral Analyst 6607 S Rice Ave, Bellaire, TX 77401 2017-04-06
1750839478 U S Anesthesia Partners of Texas, Pa Physician Assistant 4710 Bellaire Blvd Ste 390, Bellaire, TX 77401 2016-09-12
1003287657 Juna Medical LLC Durable Medical Equipment & Medical Supplies 5420 Bellaire Blvd, Suite C, Bellaire, TX 77401 2015-10-08
1366820201 Jennifer Lorene Christian Counselor 5959 West Loop South, Suite 515, Bellaire, TX 77401 2015-05-12
1326430778 Margaret Mcalpin Crady Social Worker 6750 West Loop South, # 860, Bellaire, TX 77401 2015-02-23
1952702193 Sally Eisen Miller Marriage & Family Therapist 5909 West Loop S. #590, Bellaire, TX 77401 2014-09-08
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215141007 Heidi Seifert, M.d., P. A. Pain Medicine 6565 West Loop S Ste 500, Bellaire, TX 77401-3505 2007-05-10
1780610899 Abraham G Thomas Pain Medicine 5420 West Loop S Ste 4300, Bellaire, TX 77401-2122 2006-06-23
1548796030 Shelby Marie Chambliss Pain Medicine 5420 West Loop S, Bellaire, TX 77401-2107 2017-05-03
1417308875 Vision Park Interventional Pain Management, Pllc Pain Medicine 4747 Bellaire Blvd, Ste 500, Bellaire, TX 77401-4527 2016-06-28
1063863421 Brazos Interventional Pain Consultants, Pllc Pain Medicine 4747 Bellaire Blvd, Ste 550, Bellaire, TX 77401-4527 2016-06-28
1841485034 Abraham G. Thomas, M.d., P.a. Pain Medicine 5420 West Loop S, Ste. 4300, Bellaire, TX 77401-2107 2007-09-11
1710982798 Heidi J. Seifert Pain Medicine 6565 West Loop S, Ste 500, Bellaire, TX 77401-3500 2005-06-16

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1801435896 Comprehensive Pain Institute Pllc Pain Medicine 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 2019-12-23
1497301386 Skilled Pain Care Clinic, P.a. Pain Medicine 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 2019-08-15
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Competitor

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City BELLAIRE
Zip Code 77401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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