MR. JOHN BRETT DIETZE MD 1588665319

Name: MR. JOHN BRETT DIETZE MD Specialty: Neurological Surgery Physician Type of Practice: Individual provider Provider/Org: Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS Graduation year from medical school: 1994 Affiliation: PROVIDENCE HEALTH ALLIANCE

Practice Type: Allopathic & Osteopathic Physicians Classification: Neurological Surgery Specialization: . NEUROSURGERY Definition of Specialty: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

License #(s): K2152, , , , License State(s): TX, , , ,

Practice Location: 2602 SAINT MICHAEL DR STE 302B,TEXARKANA,TX,755035228,US Mailing Address: P O BOX 9600,DEPT 09-019,TEXARKANA,TX,755059600,US

Practice location phone #: 9037944196 Practice location fax #: 9036145169 Mailing address Phone #: 9037944196 Mailing Address fax #: 9037927408 Authorized official Name/Telephone #:

Date NPI was obtained: 08/02/2005 Last data data was updated: 04/28/2021 Insurances: