SearchTexas101YM0800X

Jessica Deitch

NPI 1164847794 · on the registry since 2014

Practice

Address
12036 Canterbury Rd
Spring Branch, TX 78070
Phone
(210) 601-6507

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas