VIDAMOR MEDICAL
NPI 1992314744
Clinic/Center - Multi-Specialty in Boerne, TX

Q: What is Vidamor Medical's NPI number?

The NPI number for Vidamor Medical is 1992314744. It was assigned to this organization in the NPPES registry on July 28, 2020.

Q: What is Vidamor Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Q: When was this NPI record last updated?

The NPPES record for Vidamor Medical was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 28, 2020

107 REED RD, BOERNE, TX 78006(210) 393-2111 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2021, Jan 10, 2021, Jul 28, 2020 (3 updates tracked since 2020).

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About Vidamor Medical NPPES

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

VIDAMOR MEDICAL (NPI 1992314744) is a healthcare organization registered as a multi-specialty in Boerne, Texas and active in the NPI registry since July 2020. The organization lists Andres Ibarra, Secretary, as its authorized official.

NPPES Registry Identity

NPI1992314744

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameVIDAMOR MEDICAL

Location Address107 REED RDBoerne, TX 78006-8605

Mailing Address107 Reed RdBoerne, TX 78006-8605 · (830) 282-1544 · Fax (830) 319-9192

Phone(210) 393-2111

Organization SubpartNo

Authorized OfficialAndres IbarraSecretary · (830) 282-1544

Enumeration DateJuly 28, 2020

Last NPPES UpdateNovember 2, 20213 updates tracked since enumeration

NPPES CertifiedNovember 2, 2021

✔ NPI 1992314744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

107 REED RD, Boerne, TX 78006

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Other Providers at the Same Location NPPES

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

BOERNE REGEN AND ANTI-AGING CENTER, PLLC

Nurse Practitioner

107 REED RD
BOERNE, TX 78006

Kendall County (210) 884-2225

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 Vidamor Medical's NPI number?

The NPI number for Vidamor Medical is 1992314744. It was assigned to this organization in the NPPES registry on July 28, 2020.

Where is Vidamor Medical located?

Vidamor Medical is located at 107 Reed Rd, Boerne, TX 78006. The listed phone number is (210) 393-2111.

What is Vidamor Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Vidamor Medical was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.