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1588665319
JOHN BRETT DIETZE
TEXARKANA, TX
NPI
1588665319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: TX K2152)
Enumeration Date
2005-08-02
Last Update Date
2021-04-28
Business Address
Mr. JOHN BRETT DIETZE MD
2602 SAINT MICHAEL DR STE 302B
TEXARKANA, TX 75503-5228
Phone number: 903-794-4196
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Mailing Address
Mr. JOHN BRETT DIETZE MD
P O BOX 9600 DEPT 09-019
TEXARKANA, TX 75505-9600
Phone number: 903-794-4196
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