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

Mr. John Brett Dietze, MD

Individual provider Neurological Surgery Physician · NPI 1588665319

Mr. John Brett Dietze, MD is a Neurosurgery in Texarkana, Texas. Graduated from University of Texas Southwestern Medical School at Dallas in 1994, 32 years ago. Practices with Providence Health Alliance, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
32
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
TX
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

2602 Saint Michael Dr Ste 302B
Texarkana, TX 75503-5228
Phone: (903) 794-4196
Fax: (903) 614-5169
Show map & directions

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

Additional practice locations (1)

  • 1002 Texas Blvd, Texarkana, TX 75501-5113 — (903) 794-4196

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence K2152 (TX)

Record details

NPI number1588665319
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1994 (32 years in practice)
Group practice Providence Health Alliance — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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