Individual provider Active NPI

Omar Mahmoud Aldabe

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1194436147
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1110399 Issued in TX
Practice address
11803 Westheimer Rd Ste 720
Houston, TX 77077-6796
Phone
(832) 810-9012
Fax
(832) 810-9013
NPI assigned
Dec 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1110399 TX Primary

Addresses

Primary practice location

11803 Westheimer Rd Ste 720
Houston, TX 77077-6796

Mailing address

PO Box 760189
San Antonio, TX 78245-0189
Phone (832) 810-9012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230601002442 TX Practitioner - Nurse Practitioner 7911364278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1110399TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatricz Now Primary Care PLLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

17817 FM 529 Rd
Ste 109
Houston, TX 77095
Phone (832) 810-9021

8880 Bellaire Blvd
Ste H1
Houston, TX 77036

11803 Westheimer Rd
Ste 720
Houston, TX 77077
Phone (832) 810-9012

23441 Kingsland Blvd
Ste 100
Katy, TX 77494
Phone (832) 810-9014

10321 W Grand Pkwy S
Ste 130
Richmond, TX 77407
Phone (832) 810-9025

10321 W Grand Pkwy S
#130
Richmond, TX 77407

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1194436147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760189",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782450189",
            "telephone_number": "832-810-9012",
            "fax_number": "832-810-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 WESTHEIMER RD STE 720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776796",
            "telephone_number": "832-810-9012",
            "fax_number": "832-810-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDABE",
        "first_name": "OMAR",
        "middle_name": "MAHMOUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1110399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.