Provider Demographics
NPI:1962895474
Name:FALCON, LILIANA
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:
Last Name:FALCON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LILIANA
Other - Middle Name:FALCON
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8806 LAKESIDE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-1217
Mailing Address - Country:US
Mailing Address - Phone:832-525-7742
Mailing Address - Fax:
Practice Address - Street 1:11120 NORTH FWY STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037-1029
Practice Address - Country:US
Practice Address - Phone:281-875-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-08
Last Update Date:2015-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2097369225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant