John Brett Dietze, MD

Neurosurgeon in Waco, Texas · NPI 1588665319

John Dietze is one of 8 neurosurgeons practicing in Waco, Texas. John Dietze practices with Providence Health Alliance.

Registry record (NPPES)

NPI
1588665319
Type
Type 1 · Individual
Primary taxonomy
Neurological Surgery · 207T00000X
Address on file
2602 Saint Michael Dr Ste 302B
Texarkana, TX 75503-5228
(903) 794-4196
Enumerated
Aug 2, 2005
Record last updated
Apr 28, 2021
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Neurosurgery
Revalidation due
No date set by CMS

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Practice locations

More neurosurgeons in Waco

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.