Provider Demographics
NPI:1043611874
Name:ALANIS, LORENA
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:
Last Name:ALANIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 SAN FELIPE DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-4377
Mailing Address - Country:US
Mailing Address - Phone:956-867-2553
Mailing Address - Fax:956-600-7705
Practice Address - Street 1:2105 W MILE 3 RD STE 7
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-6732
Practice Address - Country:US
Practice Address - Phone:956-766-7083
Practice Address - Fax:956-766-7084
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116061225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics