Provider Demographics
NPI:1841415577
Name:LEE R. ALANIZ
Entity Type:Organization
Organization Name:LEE R. ALANIZ
Other - Org Name:JIREH PROVIDER SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALANIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-580-4601
Mailing Address - Street 1:PALM SHORES #34
Mailing Address - Street 2:
Mailing Address - City:LA JOYA
Mailing Address - State:TX
Mailing Address - Zip Code:78560-0000
Mailing Address - Country:US
Mailing Address - Phone:956-580-4601
Mailing Address - Fax:956-581-7558
Practice Address - Street 1:PALM SHORES #34
Practice Address - Street 2:
Practice Address - City:LA JOYA
Practice Address - State:TX
Practice Address - Zip Code:78560-0000
Practice Address - Country:US
Practice Address - Phone:956-580-4601
Practice Address - Fax:956-581-7558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization