MEDICARE: DR. MAXWELL OMABE PHD, DABCC, FRCPATHI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207SG0207X	Medical Biochemical Genetics	1252	TX
2	170100000X	Ph.D. Medical Genetics	4696	TX
3	174400000X	Specialist	10051488	TX
4	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	10051488	TX
5	207ZP0007X	Molecular Genetic Pathology (Pathology) Physician	10051488	TX
6	170300000X	Genetic Counselor (M.S.)
7	251E00000X	Home Health Agency
8	133N00000X	Nutritionist
9	247ZC0005X	Clinical Laboratory Director (Non-physician)	1252	TX
10	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1811846629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAXWELL OMABE PHD, DABCC, FRCPATHI

Provider Business Mailing Address
First Line	:	720 N SAM HOUSTON PKWY E RM 209
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-5904
Country	:	US
Telephone Number	:	281-509-3386
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 N SAM HOUSTON PKWY E RM 209
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-5904
Country	:	US
Telephone Number	:	281-509-3386
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	03/29/2026

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Directions to “ DR. MAXWELL OMABE PHD, DABCC, FRCPATHI” Practice Location

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