Individual
DR. DAVID CHRISTOPHER TIETZE
Active
Individual
DR. DAVID CHRISTOPHER TIETZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N9971
TX
207RS0010X
Sports Medicine (Internal Medicine) Physician
N9971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310248YL7A
MEDICARE OTHER
TX
01
—
310248YL7B
MEDICARE DALLAS
TX
01
—
310248YNGS
MEDICARE TARRANT
TX
01
—
327943202
MEDICAID DALLAS
TX
01
—
327943203
MEDICAID OTHER
TX
01
—
327943204
MEDICAID TARRANT
TX
Enumeration date
04/14/2009
Last updated
01/16/2026
Update your record
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