Provider Demographics
NPI:1447984315
Name:ALANIZ, RONNIE (RD)
Entity type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:
Last Name:ALANIZ
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E DALLAS AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-8887
Mailing Address - Country:US
Mailing Address - Phone:956-351-2379
Mailing Address - Fax:
Practice Address - Street 1:800 E DALLAS AVE APT 1
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8887
Practice Address - Country:US
Practice Address - Phone:956-351-2379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84465133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered