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Organization

PRECISION VEIN & AESTHETIC CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OMAR VIDAL M.D., (PAIN SPECIALIST)
(713) 592-6545
Entity
Organization

Contact information

Practice address
6750 WEST LOOP S STE 830, BELLAIRE, TX 77401-4117
(713) 592-6545
(713) 751-0605
Mailing address
6750 WEST LOOP S STE 830, BELLAIRE, TX 77401-4117
(713) 592-6545
(713) 751-0605

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K0106
TX
174400000X
Specialist
K8553
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083635841
PAIN MANAGEMENT CLINIC
TX
Enumeration date
02/06/2015
Last updated
02/06/2015
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