Basic Information
| Provider Information | |||||||||
| NPI: | 1962895474 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FALCON | ||||||||
| FirstName: | LILIANA | ||||||||
| MiddleName: | |||||||||
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| OtherOrganizationName: | |||||||||
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| OtherLastName: | RAMIREZ | ||||||||
| OtherFirstName: | LILIANA | ||||||||
| OtherMiddleName: | FALCON | ||||||||
| OtherNamePrefix: | MRS. | ||||||||
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| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 8806 LAKESIDE FOREST DR | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770881217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8325257742 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 11120 NORTH FWY STE E | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770371029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2818751800 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2015 | ||||||||
| LastUpdateDate: | 03/08/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 2097369 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.