Provider Demographics
NPI:1841485034
Name:ABRAHAM G. THOMAS, M.D., P.A.
Entity type:Organization
Organization Name:ABRAHAM G. THOMAS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-797-0876
Mailing Address - Street 1:5420 WEST LOOP S
Mailing Address - Street 2:STE. 4300
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2107
Mailing Address - Country:US
Mailing Address - Phone:713-797-0876
Mailing Address - Fax:713-797-1601
Practice Address - Street 1:5420 WEST LOOP S
Practice Address - Street 2:STE. 4300
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2107
Practice Address - Country:US
Practice Address - Phone:713-797-0876
Practice Address - Fax:713-797-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1578208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160754101Medicaid
TX160754101Medicaid