Search › Texas › 207T00000X
John Dietze, MD
NPI 1588665319 · on the registry since 2005
Practice
- Address
- 2602 Saint Michael Dr Ste 302b
Texarkana, TX 75503 - Phone
- (903) 794-4196
- Fax
- (903) 614-5169
- Organisation at this address
- Christus Health Ark-La-Tex
Independent Anesthesia Of Texarkana, L.L.PInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Additional practice sites
- 1002 Texas Blvd, Texarkana, TX
Registry record
- Primary taxonomy
- 207T00000X
207T00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-28
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