Thomas Russell Dietze in Corpus Christi - Cornea And External Diseases Specialist
Thomas Russell Dietze - NPI 1417938713
Thomas Russell Dietze is a Cornea And External Diseases Specialist in Corpus Christi, Texas. Thomas Russell Dietze practices all healthcare services and medical treatments related to Cornea And External Diseases Specialist. The NPI Number for Thomas Russell Dietze is 1417938713. The last update date is 2019-02-28.
Thomas Russell Dietze's current location address is 5402 S Staples St, Corpus Christi, Texas. You can contact this provider via phone number 3619929400 and fax number 3619928295. The mailing address for Thomas Russell Dietze is 5402 S Staples St, Corpus Christi, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Russell Dietze |
|---|---|
| Address | 5402 S Staples St, Corpus Christi, Texas |
| Phone Number | 3619929400 |
| Fax Number | 3619928295 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417938713 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2019-02-28 |
Provider Mailing Address Detail
| Address | 5402 S Staples St |
|---|---|
| City | Corpus Christi |
| State | Texas (TX) |
| Post Code | 784114656 |
| Phone Number | 3619929400 |
| Fax Number | 3619928295 |
Provider's Primary Taxonomy Detail
| Speciality | Cornea And External Diseases Specialist |
|---|---|
| Taxonomy | 207Wx0120X |
| Licence No | H1574 |
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Definition: An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 129833303 | TX | -- |
Post Comment/ Review Below
What is the Thomas Russell Dietze's unique identification number?
The Thomas Russell Dietze has been assigned the NPI (National Provider Identifier) Number 1417938713 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Thomas Russell Dietze's facilities are situated?
The facilities of Thomas Russell Dietze are physically located at the following address: 5402 S Staples St, Corpus Christi, TX, 784114656.
What is Thomas Russell Dietze's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thomas Russell Dietze is Cornea And External Diseases Specialist, and the taxonomy code that classifies this field of practice is 207Wx0120X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417938713 to Thomas Russell Dietze?
The Thomas Russell Dietze received its 1417938713 assignment from the Centers for Medicare & Medicaid Services on 2005-11-14.
When was the information regarding Thomas Russell Dietze most recently updated?
The details pertaining to the Thomas Russell Dietze, including its address, specialty, and other relevant information, were last refreshed on 2019-02-28.