Provider Demographics
NPI:1942239652
Name:ALANIZ, ANNE BUSISIWE (DO)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:BUSISIWE
Last Name:ALANIZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:BUSISIWE
Other - Last Name:MASEKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18220 TOMBALL PKWY
Mailing Address - Street 2:SUITE 260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4347
Mailing Address - Country:US
Mailing Address - Phone:281-890-4448
Mailing Address - Fax:281-890-4237
Practice Address - Street 1:18220 TOMBALL PKWY
Practice Address - Street 2:SUITE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4347
Practice Address - Country:US
Practice Address - Phone:281-890-4448
Practice Address - Fax:281-890-4237
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4021207VX0201X, 207V00000X
PAOT013279207VX0201X
MO6002001620207VX0201X
KS0532059207VX0201X
PAOS014974207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20096824OtherAMERIHEALTH MERCY-WMG
TX310287302Medicaid
PA10239872Medicaid
PA289486OtherUNISON-WMG
TX310287304Medicaid
TX8FX369OtherBCBS
MA958646OtherCAREFIRST MD BCBS-WMG
TXP01190470OtherRR MEDICARE
TX310287301Medicaid
PA1588035OtherGATEWAY-WMG
PA20096824OtherAMERIHEALTH MERCY-WMG
PA10239872Medicaid
PA1588035OtherGATEWAY-WMG
MA958646OtherCAREFIRST MD BCBS-WMG
TX310287302Medicaid