Individual
ANITA MARGOT DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 808-2226
(210) 808-2225
Mailing address
3100 SCHOFIELD RD, BLDG 1179, FORT SAM HOUSTON, TX 78234-7577
(210) 808-2226
(210) 808-2225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1094282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
837T97
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/25/2006
Last updated
08/16/2023
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