Provider Demographics
NPI:1720759772
Name:FALKNOR, JASON ANTHONY (CP, LP)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:ANTHONY
Last Name:FALKNOR
Suffix:
Gender:M
Credentials:CP, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7777 SOUTHWEST FWY STE 107
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1826
Mailing Address - Country:US
Mailing Address - Phone:713-773-0969
Mailing Address - Fax:713-773-0923
Practice Address - Street 1:7777 SOUTHWEST FWY STE 107
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1826
Practice Address - Country:US
Practice Address - Phone:713-773-0969
Practice Address - Fax:713-773-0923
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX224L00000X
TX1239224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist