Provider Demographics
NPI:1336625037
Name:ALANIZ, BRYAN ANTHONY (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:ANTHONY
Last Name:ALANIZ
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Mailing Address - Street 1:5026 DEEPWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78415-2901
Mailing Address - Country:US
Mailing Address - Phone:361-854-2278
Mailing Address - Fax:361-854-2389
Practice Address - Street 1:5026 DEEPWOOD CIR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415
Practice Address - Country:US
Practice Address - Phone:361-854-2278
Practice Address - Fax:361-854-2389
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1306666225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist