Individual
KEVIN JOHN DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4002 LOUETTA RD, SPRING, TX 77388-4405
(832) 717-4083
(281) 655-5234
Mailing address
4002 LOUETTA RD, SPRING, TX 77388-4405
(832) 717-4083
(832) 422-2500
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TX
251C00000X
Developmentally Disabled Services Day Training Agency
—
TX
251J00000X
Nursing Care Agency
—
TX
Other
Enumeration date
01/31/2007
Last updated
03/11/2024
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