Provider Demographics
NPI:1568957009
Name:ELLER, JANA ELIZABETH (AUD)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:ELIZABETH
Last Name:ELLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18207 WILSTONE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3268
Mailing Address - Country:US
Mailing Address - Phone:832-622-1631
Mailing Address - Fax:
Practice Address - Street 1:6400 FANNIN ST STE 2700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1539
Practice Address - Country:US
Practice Address - Phone:713-486-5000
Practice Address - Fax:713-383-1410
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80950231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist