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NPI Code Detail

MEDICARE: DR. JANA ELIZABETH ELLER AUD

MEDICARE: DR. JANA ELIZABETH ELLER AUD
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
1231H00000XAudiologist80950TX

General Provider Information

NPI Number : 1568957009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANA ELIZABETH ELLER AUD
Provider Business Mailing Address
First Line : 18207 WILSTONE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77084-3268
Country : US
Telephone Number : 832-622-1631
Fax Number :
Provider Business Practice Location Address
First Line : 6400 FANNIN ST STE 2700
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1539
Country : US
Telephone Number : 713-486-5000
Fax Number : 713-383-1410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2018
Last Update Date : 06/27/2018

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