Provider Demographics
NPI:1780610899
Name:THOMAS, ABRAHAM G (MD)
Entity type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:G
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 201359
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-1359
Mailing Address - Country:US
Mailing Address - Phone:281-347-7246
Mailing Address - Fax:866-608-9603
Practice Address - Street 1:5420 WEST LOOP S STE 4300
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2122
Practice Address - Country:US
Practice Address - Phone:281-347-7246
Practice Address - Fax:866-608-9603
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ1578208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG37789Medicare UPIN
TX8A7391OtherPTAN