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Organization

PRINCIPLEMED ANESTHESIA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES M DIETER III NP (AUTHORIZED OFFICIAL)
(832) 524-5355
Entity
Organization

Contact information

Practice address
5010 CRENSHAW RD STE 130, PASADENA, TX 77505-4615
(281) 991-2200
(281) 991-7700
Mailing address
16840 BUCCANEER LN STE 261, HOUSTON, TX 77058-2570
(832) 932-5968
(832) 532-6119

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
02/04/2020
Last updated
02/18/2020
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