Provider Demographics
NPI:1316693633
Name:ALANIZ, CLAUDIA IMELDA (PTA)
Entity type:Individual
Prefix:MISS
First Name:CLAUDIA
Middle Name:IMELDA
Last Name:ALANIZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SOLAR DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-2374
Mailing Address - Country:US
Mailing Address - Phone:956-827-9490
Mailing Address - Fax:
Practice Address - Street 1:201 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9383
Practice Address - Country:US
Practice Address - Phone:956-624-6468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2155343208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation