OMAR D. VIDAL M.D. P.L.L.C.
NPI 1770705865
Pain Medicine - Interventional Pain Medicine in Houston, TX

Active since May 02, 2007
2105 JACKSON ST, HOUSTON, TX 77003(713) 751-0631(713) 751-0605 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Omar D. Vidal M.d. P.l.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMAR D. VIDAL M.D. P.L.L.C. (NPI 1770705865) is a healthcare organization registered as an interventional pain medicine in Houston, Texas and active in the NPI registry since May 2007. The organization lists Omar Damaso Vidal, Director, as its authorized official.

NPPES Registry Identity

NPI1770705865
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameOMAR D. VIDAL M.D. P.L.L.C.
Location Address2105 JACKSON STHouston, TX 77003-5839
Mailing Address2105 Jackson StHouston, TX 77003-5839 · (713) 751-0631 · Fax (713) 751-0605
Fax(713) 751-0605
Organization SubpartNo
Authorized OfficialOmar Damaso VidalDirector · (713) 751-0631
Enumeration DateMay 2, 2007
Last NPPES UpdateJanuary 7, 2011
NPI 1770705865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in TX · K8553
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.
Also ListedAnesthesiologyTaxonomy 207L00000X · License K8553 (TX)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License K8553 (TX)
2105 JACKSON ST, Houston, TX 77003

Other Names 1

Doing Business AsOmar D. Vidal M.d. P.l.l.c.

Other Identifiers 4

MedicaidP080565G5TX
Medicare PIN8L25485TX
Medicare ID-Type Unspecified80565GTX
Medicare UPING75658TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
2105 JACKSON ST, SUITE 200
HOUSTON, TX 77003
Clinical Nurse Specialist (Family Health)
2105 JACKSON ST
HOUSTON, TX 77003
Anesthesiology
2105 JACKSON ST, 1ST FLOOR
HOUSTON, TX 77003
Clinic/Center (Ambulatory Surgical)
2105 JACKSON ST, SUITE 200
HOUSTON, TX 77003
Clinic/Center (Medical Specialty)
2105 JACKSON ST
HOUSTON, TX 77003
Clinic/Center (Ambulatory Surgical)
2105 JACKSON ST
HOUSTON, TX 77003
Clinic/Center (Ambulatory Surgical)
2105 JACKSON ST
HOUSTON, TX 77003
Clinic/Center (Ambulatory Surgical)
2105 JACKSON ST, #100
HOUSTON, TX 77003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omar D. Vidal M.D. P.L.L.C.'s NPI number?

The NPI number for Omar D. Vidal M.D. P.L.L.C. is 1770705865. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Omar D. Vidal M.D. P.L.L.C. located?

Omar D. Vidal M.D. P.L.L.C. is located at 2105 Jackson St, Houston, TX 77003. The listed phone number is (713) 751-0631.

What is Omar D. Vidal M.D. P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Omar D. Vidal M.D. P.L.L.C. was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.