John A Dieck Pa in Austin - Nuclear Cardiology

John A Dieck Pa - NPI 1770744104

John A Dieck Pa is a Nuclear Cardiology in Austin, Texas. John A Dieck Pa practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for John A Dieck Pa is 1770744104. The last update date is 2010-04-14.

John A Dieck Pa's current location address is Po Box 13045, Austin, Texas. You can contact this provider via phone number 5126235300 and fax number 5126235399. The mailing address for John A Dieck Pa is Po Box 13045, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization John A Dieck Pa
Address Po Box 13045, Austin, Texas
Phone Number 5126235300
Fax Number 5126235399
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Dieck A John
Credentials M.D.
Telephone Number 5126235300

NPI Number Detail

NPI Number 1770744104
Provider Enumeration Date 2008-06-18
Last Updated Date 2010-04-14

Provider Mailing Address Detail

Address Po Box 13045
City Austin
State Texas (TX)
Post Code 787113045
Phone Number 5126235300
Fax Number 5126235399

Provider's Primary Taxonomy Detail

Speciality Nuclear Cardiology
Taxonomy 207Un0901X
Licence No G8081
Definition:
A nuclear medicine physician who specializes in nuclear cardiology.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DO6808 TX MEDICARE RAILROAD
0089RZ TX BCBSTX GROUP NUMBER
197564102 TX --
197564101 TX --

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FAQs about John A Dieck Pa

What is the unique 10-digit identification code assigned to John A Dieck Pa by the Centers for Medicare & Medicaid Services?

The John A Dieck Pa has been issued the NPI (National Provider Identifier) 1770744104, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the John A Dieck Pa's physical address?

The John A Dieck Pa is physically located at Po Box 13045, in the city of Austin, TX, with the postal code 787113045.

What is John A Dieck Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John A Dieck Pa's specialized field of practice is Nuclear Cardiology, and the corresponding taxonomy code that categorizes this area of specialization is 207Un0901X.

On what date did the John A Dieck Pa receive its 1770744104 assignment from the Centers for Medicare & Medicaid Services?

The John A Dieck Pa was assigned its 1770744104 by the Centers for Medicare & Medicaid Services on 2008-06-18.

As of what date were the John A Dieck Pa's details last updated?

The information pertaining to the John A Dieck Pa, including its address, specialty, and other details, was most recently updated on 2010-04-14.

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