Provider Demographics
NPI:1356501308
Name:ALANIZ, ALBERTO (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:
Last Name:ALANIZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 PLEASANTON RD
Mailing Address - Street 2:STE 205
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1321
Mailing Address - Country:US
Mailing Address - Phone:210-922-3627
Mailing Address - Fax:
Practice Address - Street 1:2115 PLEASANTON RD
Practice Address - Street 2:STE 205
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1321
Practice Address - Country:US
Practice Address - Phone:210-922-3627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02207363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant