Individual provider · NPI-1

Jasson Thomas Abraham, MD

Plastic Surgery · Tyler, TX

NPI number1831577253

StatusActive

Last updated in NPPESAug 28, 2026

Details

NPI: 1831577253
Entity type: Individual (NPI-1)
Name: Jasson Thomas Abraham
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: May 18, 2015
Certification date: Aug 28, 2026
Last updated: Aug 28, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208200000X	Plastic Surgery	W7254	TX	Yes
2086S0122X	Surgery, Plastic and Reconstructive Surgery	BP10053999	TX
208200000X	Plastic Surgery	D91840	MD

Practice location

8591 S Broadway Ave
Tyler, TX 75703-5470

Phone 903-606-8840 · Fax 903-606-1121

Mailing address

6201 Greenleigh Ave # Msag407q
Middle River, MD 21220-2004

Phone 410-933-6423

Other practice locations

4940 Eastern Ave Fl I3
Baltimore, MD 21224-2735

Phone 410-502-7381 · Fax 410-955-7060

2401 S 31st St
Temple, TX 76508-0001

Phone 254-724-0630

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