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

Justin Carl Diercks

Individual provider Registered Nurse · NPI 1568326023

Justin Carl Diercks is a Registered Nurse in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

111 Dallas St
San Antonio, TX 78205-1201
Phone: (210) 297-7530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 944015 (TX)

Record details

NPI number1568326023
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address7603 Cherished Bnd, San Antonio, TX 78254-4440

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