Individual
KIMBERLY DIETZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
800 W CENTRAL TEXAS EXPY, SUITE 200, HARKER HEIGHTS, TX 76548-1899
(254) 519-2229
Mailing address
800 W CENTRAL TEXAS EXPY, SUITE 200, HARKER HEIGHTS, TX 76548-1899
(254) 519-2229
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP129632
TX
Other
Enumeration date
11/24/2015
Last updated
11/25/2015
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