Individual
JOHN ANTHONY DIECK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4316 JAMES CASEY ST, BUILDING A, AUSTIN, TX 78745-1157
(512) 623-5300
(512) 623-5399
Mailing address
PO BOX 1509, SAN ANTONIO, TX 78295-1509
(512) 623-5300
(512) 623-5399
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G8081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060012108
MEDICARE RAILROAD
TX
05
—
131632501
—
TX
05
—
131632507
—
TX
05
—
131632508
—
TX
01
—
8BX076
BCBSTX
TX
01
—
P00700180
MEDICARE RAILROAD
TX
01
—
P00706404
RAILROAD MEDICARE
TX
Enumeration date
08/02/2005
Last updated
06/24/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us