person
Mr. John Brett Dietze, MD
Neurological Surgery Physician in Texarkana, Texas
NPI 1588665319

John Brett Dietze is a Neurological Surgery Physician based in Texarkana, TX. John Brett Dietze practices in Texarkana, TX and has the professional credentials of MD. The NPI Number for John Brett Dietze is 1588665319 and holds a License No. K2152 (Texas).

The current practice location address for John Brett Dietze is 2602 Saint Michael Dr Ste 302B, Texarkana, TX and can be reached out via phone at 903-794-4196 and via fax at 903-614-5169. You can also correspond with John Brett Dietze through the mailing address at P O BOX 9600, TEXARKANA, TX - 75505-9600 (mailing address contact number: 903-794-4196).

Location: 2602 Saint Michael Dr Ste 302B, Texarkana, TX, 75505-9600
person
Provider Profile Details
NPI Number
1588665319
Provider Name
John Brett Dietze
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2602 Saint Michael Dr Ste 302B, Texarkana, TX, 75505-9600
Phone Number
903-794-4196
Fax Number
903-614-5169
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1G1885 01 TX MEDICARE
141100101 01 INDIGENT HEALTH CARE
18796000000 01 AR QUALCHOICE OF ARKANSAS
98601 01 TX COLLUM & CARNEY CLINIC
98601 01 AR BLUE CROSS
179117500 01 US DEPT OF LABOR
1871793307 01 TX CIGNA DME
8A0896 01 TX BLUE CROSS
140006859 01 TX RAILROAD MEDICARE
141100101 05 TX
142238001 05 AR
200023040A 05 OK
5575000001 01 TX CIGNA GOVERNMENT SERVICES
MDK2152 01 TX WORKERS' COMPENSATION
98601 01 FIRST PYRAMID LIFE
institution
Provider Business Practice Location Address Details
Address
2602 Saint Michael Dr Ste 302B
City
State
Zip
75503-5228
Phone Number
903-794-4196
Fax Number
903-614-5169
person
Provider Business Mailing Address Details
Address
2602 Saint Michael Dr Ste 302B
City
State
Zip
75503-5228
Phone Number
903-794-4196
Fax Number
903-614-5169
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
License No.
K2152 (Texas)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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