Individual
DR. ANDREW D DIEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-8899
(214) 456-5986
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N6257
TX
2084P0804X
Child & Adolescent Psychiatry Physician
N6257
TX
Other
Enumeration date
05/10/2007
Last updated
09/15/2020
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