Mr. John Brett Dietze, MD - Texarkana, TX

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.

Location: 2602 Saint Michael Dr Ste 302B, Texarkana, TX, 75505-9600

NPI Number

1588665319

Provider Name

John Brett Dietze

Credential

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

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

Address

2602 Saint Michael Dr Ste 302B

City

Texarkana

State

Texas

Zip

75503-5228

Phone Number

903-794-4196

Fax Number

903-614-5169

Address

2602 Saint Michael Dr Ste 302B

City

Texarkana

State

Texas

Zip

75503-5228

Phone Number

903-794-4196

Fax Number

903-614-5169

Type

Allopathic & Osteopathic Physicians

Classification

Neurological Surgery

Speciality

Taxonomy

207T00000X

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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