MEDICARE: ELIANA JULIET LERNER PHYSICIAN ASSISTANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant

General Provider Information

NPI Number	:	1124901632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIANA JULIET LERNER PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	2800 KIRBY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1273
Country	:	US
Telephone Number	:	713-208-7142
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 KIRBY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1273
Country	:	US
Telephone Number	:	713-208-7142
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	07/30/2025

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