MEDICARE: OMAR MAHMOUD ALDABE

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1110399	TX

General Provider Information

NPI Number	:	1194436147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAR MAHMOUD ALDABE

Provider Business Mailing Address
First Line	:	PO BOX 760189
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-0189
Country	:	US
Telephone Number	:	832-810-9012
Fax Number	:	832-810-9013

Provider Business Practice Location Address
First Line	:	11803 WESTHEIMER RD STE 720
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-6796
Country	:	US
Telephone Number	:	832-810-9012
Fax Number	:	832-810-9013

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

Provider Enumeration Date	:	12/12/2022
Last Update Date	:	09/17/2025

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Directions to “ OMAR MAHMOUD ALDABE ” Practice Location

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