Individual
DR. IDALIA ALANIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3502 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7671
(325) 949-8611
(325) 481-2165
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P1842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302086901
—
TX
01
—
8DH031
BCBS
TX
Enumeration date
02/09/2012
Last updated
10/11/2012
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