Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Thompson Mack Dietz IV, MD

Individual provider Diagnostic Radiology Physician · NPI 1083619241

Dr. Thompson Mack Dietz IV, MD is a Diagnostic Radiology Physician in Slidell, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1495 Gause Blvd
Slidell, LA 70458-2205
Phone: (985) 405-5200
Fax: (985) 405-5201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 013772 (LA)

Record details

NPI number1083619241
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 15, 2005
Last updated in NPPESFebruary 20, 2008

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