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NPI Code Detail

MEDICARE: DR. LESLEY ABRAHAM THOMAS M.D.

MEDICARE: DR. LESLEY ABRAHAM THOMAS M.D.
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
1208100000XPhysical Medicine & Rehabilitation PhysicianMD60940884WA
2208100000XPhysical Medicine & Rehabilitation PhysicianV0668TX

General Provider Information

NPI Number : 1982090049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLEY ABRAHAM THOMAS M.D.
Provider Business Mailing Address
First Line : 2637 N 400 E STE 164
Second Line :
City : NORTH OGDEN
State : UT
Zip : 84414-2240
Country : US
Telephone Number : 214-970-6817
Fax Number :
Provider Business Practice Location Address
First Line : 13031 WORTHAM CENTER DR
Second Line :
City : HOUSTON
State : TX
Zip : 77065-5662
Country : US
Telephone Number : 832-280-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2015
Last Update Date : 01/30/2025

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