Provider Demographics
NPI:1720860471
Name:ALANIZ, ALONZO (FNP-C)
Entity type:Individual
Prefix:
First Name:ALONZO
Middle Name:
Last Name:ALANIZ
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8229 SHOAL CREEK BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-7556
Mailing Address - Country:US
Mailing Address - Phone:512-691-7077
Mailing Address - Fax:
Practice Address - Street 1:8229 SHOAL CREEK BLVD STE 101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-7556
Practice Address - Country:US
Practice Address - Phone:512-691-7077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1131334363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily