Provider Demographics
NPI:1942450010
Name:MCALISTER, TANYA
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:MCALISTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:
Other - Last Name:MCALISTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:610 MURPHY RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5926
Mailing Address - Country:US
Mailing Address - Phone:713-941-9917
Mailing Address - Fax:877-288-1193
Practice Address - Street 1:610 MURPHY RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5926
Practice Address - Country:US
Practice Address - Phone:713-941-9917
Practice Address - Fax:877-288-1193
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No171400000XOther Service ProvidersHealth & Wellness Coach
No175F00000XOther Service ProvidersNaturopath
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX26-3278744OtherIRS