Individual
DIETRICH JEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-3021
(716) 472-4094
Mailing address
2201 MARKET ST STE 1007, GALVESTON, TX 77550-1529
(716) 472-4094
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
184471
NY
207P00000X
Emergency Medicine Physician
Primary
47440
TX
207P00000X
Emergency Medicine Physician
ME115142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131658A
—
GA
05
—
00817720
—
FL
Enumeration date
04/19/2006
Last updated
03/07/2023
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