Provider Demographics
NPI:1033949318
Name:ALANIZ, FRANCISCO IV (CPO)
Entity type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:
Last Name:ALANIZ
Suffix:IV
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 MASON AVE
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-1733
Mailing Address - Country:US
Mailing Address - Phone:214-491-9533
Mailing Address - Fax:
Practice Address - Street 1:4616 US HWY 75 STE 100
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4582
Practice Address - Country:US
Practice Address - Phone:469-919-2061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1768224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CPO04129OtherAMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND PEDORTHICS
TX1768OtherTEXAS ORTHOTIST / PROSTHETIST LICENSE