Provider Demographics
NPI:1154355782
Name:ALANIZ, JOSE GUADALUPE JR (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:GUADALUPE
Last Name:ALANIZ
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 UVALDE RD STE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-1439
Mailing Address - Country:US
Mailing Address - Phone:713-450-3003
Mailing Address - Fax:713-450-3322
Practice Address - Street 1:16 UVALDE RD STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-1439
Practice Address - Country:US
Practice Address - Phone:713-450-3003
Practice Address - Fax:713-450-3322
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice