Jennifer E. Dietrich in Houston - Adolescent Medicine
Jennifer E. Dietrich - NPI 1053401216
Jennifer E. Dietrich is a Adolescent Medicine in Houston, Texas. Jennifer E. Dietrich practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jennifer E. Dietrich is 1053401216. The last update date is 2011-03-01.
Jennifer E. Dietrich's current location address is 6620 Main St, Houston, Texas. You can contact this provider via phone number 7137987500 and fax number 7137986956. The mailing address for Jennifer E. Dietrich is 6620 Main St, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer E. Dietrich |
|---|---|
| Address | 6620 Main St, Houston, Texas |
| Phone Number | 7137987500 |
| Fax Number | 7137986956 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053401216 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2011-03-01 |
Provider Mailing Address Detail
| Address | 6620 Main St |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770302348 |
| Phone Number | 7137987500 |
| Fax Number | 7137986956 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | L6358 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 187205302 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jennifer E. Dietrich?
The Jennifer E. Dietrich has been issued the NPI (National Provider Identifier) 1053401216 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jennifer E. Dietrich's physical address?
The Jennifer E. Dietrich is physically located at 6620 Main St, in the city of Houston, TX, with the postal code 770302348.
What is Jennifer E. Dietrich's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jennifer E. Dietrich's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.
On what date did Jennifer E. Dietrich receive its 1053401216 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer E. Dietrich was assigned its 1053401216 on 2006-10-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jennifer E. Dietrich's information last updated?
The Jennifer E. Dietrich's information was last updated on 2011-03-01.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN