Healthcare Provider Details

I. General information

NPI: 1922889542
Provider Name (Legal Business Name): STEVEN D. ALANIZ, DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2023
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 FM 156 S STE 100
HASLET TX
76052-3625
US

IV. Provider business mailing address

570 FM 156 S STE 100
HASLET TX
76052-3625
US

V. Phone/Fax

Practice location:
  • Phone: 817-439-0123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NAYTEE RICO
Title or Position: DIRECTOR OF PAYOR REIMBURSEMENT
Credential:
Phone: 480-712-4510