MEDICARE: STEVEN D. ALANIZ, DDS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1922889542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN D. ALANIZ, DDS, PLLC

Provider Business Mailing Address
First Line	:	570 FM 156 S STE 100
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-3625
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	570 FM 156 S STE 100
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-3625
Country	:	US
Telephone Number	:	817-439-0123
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF PAYOR REIMBURSEMENT
Name	:	NAYTEE RICO
Credential	:
Telephone Number	:	480-712-4510

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	10/10/2023

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