Provider Demographics
NPI:1053972489
Name:PALOS, ALAINA JULIANO
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:JULIANO
Last Name:PALOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8548 ROLLING TREE
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-2562
Mailing Address - Country:US
Mailing Address - Phone:210-630-3273
Mailing Address - Fax:
Practice Address - Street 1:8548 ROLLING TREE
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-2562
Practice Address - Country:US
Practice Address - Phone:210-630-3273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX932957163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse