Provider Demographics
NPI:1215412556
Name:ALANIS, JUAN ANGEL (DMS'C, PA-C)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:ANGEL
Last Name:ALANIS
Suffix:
Gender:M
Credentials:DMS'C, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Mailing Address - Street 1:3600 N 23RD ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-6081
Mailing Address - Country:US
Mailing Address - Phone:956-682-4401
Mailing Address - Fax:956-664-9081
Practice Address - Street 1:3600 N 23RD ST STE 103
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-6081
Practice Address - Country:US
Practice Address - Phone:956-682-4401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-02
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant