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Individual

DR. JESSICA BEARDEN DIETERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2201 ONION CREEK PKWY, AUSTIN, TX 78747-1609
(512) 649-3376
(512) 572-5192
Mailing address
2201 ONION CREEK PKWY, AUSTIN, TX 78747-1609
(512) 649-3376
(512) 572-5192

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
R7710
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
R7710
TX

Other

Enumeration date
05/01/2013
Last updated
04/28/2025
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