MEDICARE: LILIANA FALCON

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	225200000X	Physical Therapy Assistant	2097369	TX

General Provider Information

NPI Number	:	1962895474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIANA FALCON

Provider Business Mailing Address
First Line	:	8806 LAKESIDE FOREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77088-1217
Country	:	US
Telephone Number	:	832-525-7742
Fax Number	:

Provider Business Practice Location Address
First Line	:	11120 NORTH FWY STE E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77037-1029
Country	:	US
Telephone Number	:	281-875-1800
Fax Number	:

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

Provider Enumeration Date	:	03/08/2015
Last Update Date	:	03/08/2015

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Directions to “ LILIANA FALCON ” Practice Location

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