Provider Demographics
NPI:1033145131
Name:ALQUIZA, ANNA CAREL (PT)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:CAREL
Last Name:ALQUIZA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6850 TPC DRIVE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:972-838-1635
Mailing Address - Fax:972-838-1634
Practice Address - Street 1:6850 TPC DRIVE
Practice Address - Street 2:SUITE 116
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:972-838-1635
Practice Address - Fax:972-838-1634
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1074177174400000X, 225100000X
TXPT LICENSE #1074177225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152780601Medicaid
TX8T4550OtherBCBS
TX152780601Medicaid
TXTXB127949Medicare PIN
TXTXB127950Medicare PIN
TXTXB127948Medicare PIN