Jennifer E. Dietrich M.D.

NPI 1053401216 - Pediatrics - 2080A0000X

NPI Details
NPI 1053401216
Gender Female
Enumeration Date 10/16/2006
Last Updated 03/01/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
6620 MAIN ST
SUITE 1450
HOUSTON TX, 77030-2348, US
Phone (713) 798-7500
Fax (713) 798-6956
Business Location
PO BOX 4775
HOUSTON TX, 77210-4775, US
Phone (713) 798-1850
Fax (713) 798-1702
Taxonomy Code 2080A0000X
License State Texas
License Number L6358
Remove 1053401216 NPI Number

According to our database, Dr. Jennifer E. Dietrich M.D. NPI is 1053401216, taxonomy code is 2080A0000X and license number is L6358, license state is located at Texas. Jennifer E. Dietrich M.D. physically located at 6620 Main St, Houston TX, 77030-2348. NPI Number Jennifer E. Dietrich M.D. has the Individual type.

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1053401216 NPI number is provided on an as is basis without warranty of any kind. 1053401216 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer E. Dietrich M.D. are for informational purposes only.