Provider Demographics
NPI:1952621377
Name:ALANIZ, VERONICA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:MARIE
Last Name:ALANIZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:ALANIZ
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:13725 NORTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5127
Mailing Address - Country:US
Mailing Address - Phone:361-387-9413
Mailing Address - Fax:361-387-9616
Practice Address - Street 1:13725 NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-5127
Practice Address - Country:US
Practice Address - Phone:361-387-9413
Practice Address - Fax:361-387-9616
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06388363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX216041801Medicaid
TX844N21OtherBCBS
TXP00947160OtherRAILROAD MEDICARE
TX216041802Medicaid
TX826N86OtherBCBS
TXTXB115049Medicare PIN
TXTXB111646Medicare PIN