Individual provider Active NPI

Jolly Abraham, PA-C

  • Physician Assistant
  • Pearland, TX
National Provider Identifier
1083808422
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09301 Issued in TX
Practice address
3569 Business Center Dr Ste 195a
Pearland, TX 77584-1911
Phone
(281) 922-0400
NPI assigned
Aug 29, 2007
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09301 TX Primary

Addresses

Primary practice location

3569 Business Center Dr Ste 195a
Pearland, TX 77584-1911

Mailing address

PO Box 58538
Webster, TX 77598-8538

Other practice location 1

11920 Astoria Blvd Ste 130
Houston, TX 77089-6097
Phone (281) 922-0400

Other practice location 2

500 N Kobayashi Ste C
Webster, TX 77598-4722
Phone (281) 816-3092

Other practice location 3

905 W Medical Center Blvd Ste 306
Webster, TX 77598-4009
Phone (281) 724-8332

Other practice location 4

600 N Kobayashi Ste 110
Webster, TX 77598-4841
Phone (281) 338-1701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CLS Health PLLC CurrentSince Jul 21, 2026 Accepting new patients
CLS Health PLLC Past Accepting new patients
National House Call Practitioners PastSince Jan 1, 2012 Accepting new patients
Basem Hamid MD PA Past Accepting new patients

Locations

3569 Business Center Dr
Ste 195A
Pearland, TX 77584
Phone 2819220400409

500 N Kobayashi
Ste C
Webster, TX 77598
Phone (281) 747-9313

905 W Medical Center Blvd
Ste 306
Webster, TX 77598
Phone (281) 724-8332

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADJECA/Endpoint/ADJECA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFDBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1083808422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58538",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 BUSINESS CENTER DR STE 195A",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841911",
            "telephone_number": "281-922-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11920 Astoria Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770896097",
            "country_code": "US",
            "telephone_number": "281-922-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Kobayashi Ste C",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984722",
            "country_code": "US",
            "telephone_number": "281-816-3092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 W Medical Center Blvd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984009",
            "country_code": "US",
            "telephone_number": "281-724-8332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Kobayashi Ste 110",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984841",
            "country_code": "US",
            "telephone_number": "281-338-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "JOLLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.