Provider Demographics
NPI:1316010267
Name:ALANIZ, ROLANDO (MD)
Entity Type:Individual
Prefix:
First Name:ROLANDO
Middle Name:
Last Name:ALANIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E. FRONTAGE RD
Mailing Address - Street 2:SUITE R
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516-9619
Mailing Address - Country:US
Mailing Address - Phone:956-783-5800
Mailing Address - Fax:956-783-5858
Practice Address - Street 1:1001 E. FRONTAGE RD.
Practice Address - Street 2:SUITE R
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-9619
Practice Address - Country:US
Practice Address - Phone:956-783-5800
Practice Address - Fax:956-783-5858
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2636207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH33061Medicare UPIN