Provider Demographics
NPI:1487060075
Name:ALANIS, JESUS E (OTR)
Entity type:Individual
Prefix:
First Name:JESUS
Middle Name:E
Last Name:ALANIS
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 WEST 3 MILE LINE
Mailing Address - Street 2:STE 700
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-0000
Mailing Address - Country:US
Mailing Address - Phone:956-599-9936
Mailing Address - Fax:956-599-9937
Practice Address - Street 1:1909 WEST 3 MILE LINE
Practice Address - Street 2:STE 700
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-0000
Practice Address - Country:US
Practice Address - Phone:956-599-9936
Practice Address - Fax:956-599-9937
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116033225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist