Healthcare Provider Details

I. General information

NPI: 1982090049
Provider Name (Legal Business Name): LESLEY ABRAHAM THOMAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LESLEY ABRAHAM

II. Dates (important events)

Enumeration Date: 04/15/2015
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13031 WORTHAM CENTER DR
HOUSTON TX
77065-5662
US

IV. Provider business mailing address

2637 N 400 E STE 164
NORTH OGDEN UT
84414-2240
US

V. Phone/Fax

Practice location:
  • Phone: 832-280-2500
  • Fax:
Mailing address:
  • Phone: 214-970-6817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD60940884
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberV0668
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: