Individual
DIANE JENDRZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G8199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136388904
—
TX
05
—
136388908
—
TX
05
—
136388910
—
TX
01
—
1790764983
NPI
TX
01
—
87460G
BCBS
TX
Enumeration date
01/16/2006
Last updated
10/31/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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