MEDICARE: MIRIAM L ALONZO

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	101Y00000X	Counselor	96933	TX

General Provider Information

NPI Number	:	1548129174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRIAM L ALONZO

Provider Business Mailing Address
First Line	:	12702 MEADOW GLEN TRL
Second Line	:
City	:	ROWLETT
State	:	TX
Zip	:	75089-1425
Country	:	US
Telephone Number	:	877-768-2770
Fax Number	:

Provider Business Practice Location Address
First Line	:	14114 DALLAS PKWY STE 560
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-1343
Country	:	US
Telephone Number	:	877-768-2770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ MIRIAM L ALONZO ” Practice Location

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