Individual provider · Type 1 NPI

Jennifer E. Dietrich, MD

Gynecology Physician · Houston, TX

NPI number 1053401216 Active

Practice location

6620 Main St, Suite 1450
Houston, TX 77030-2348

Call (713) 798-7500 Map

Fax (713) 798-6956

Mailing address

PO Box 4775
Houston, TX 77210-4775

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician 2080A0000XL6358 (TX)
Gynecology Physician Primary 207VG0400XL6358 (TX)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1053401216

Jennifer E. Dietrich, MD's National Provider Identifier is 1053401216, issued on Oct 16, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Houston, TX. The record was last updated on Mar 1, 2011.