Healthcare Provider Details
I. General information
NPI: 1063324051
Provider Name (Legal Business Name): ALANIZ PEDIATRIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
326 N ALAMO RD STE A
ALAMO TX
78516-2214
US
IV. Provider business mailing address
326 N ALAMO RD STE A SUITE A
ALAMO TX
78516-2214
US
V. Phone/Fax
- Phone: 956-783-5800
- Fax: 956-783-5858
- Phone: 956-783-5800
- Fax: 956-783-5858
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAUL
ALANIZ
Title or Position: MEDICAL PROVIDER
Credential: MD
Phone: 956-783-5800