Healthcare Provider Details

I. General information

NPI: 1780610899
Provider Name (Legal Business Name): ABRAHAM G THOMAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 E FERNHURST DR
KATY TX
77450-1597
US

IV. Provider business mailing address

PO BOX 201359
DALLAS TX
75320-1359
US

V. Phone/Fax

Practice location:
  • Phone: 713-724-4595
  • Fax: 713-797-1601
Mailing address:
  • Phone: 281-347-7246
  • Fax: 866-608-9603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberJ1578
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: