# EVERGREEN PHYSIATRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114754066
- **Authorized official:** LESLEY ABRAHAM THOMAS MD (OWNER)
- **Authorized official phone:** (214) 970-6817

## Contact information

- **Practice address:** 13031 WORTHAM CENTER DR, HOUSTON, TX 77065-5662
- **Practice address phone:** (214) 970-6817
- **Practice address fax:** (844) 803-4513
- **Mailing address:** 2637 N 400 E STE 164, NORTH OGDEN, UT 84414-2240
- **Mailing address phone:** (214) 970-6817
- **Mailing address fax:** (844) 803-4513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2024
- **Last updated:** 12/30/2025