Provider Demographics
NPI:1114159142
Name:DIETER, JAMES MONROE III (DC, NP-C)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MONROE
Last Name:DIETER
Suffix:III
Gender:M
Credentials:DC, NP-C
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Mailing Address - Street 1:5010 CRENSHAW RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3097
Mailing Address - Country:US
Mailing Address - Phone:281-991-2200
Mailing Address - Fax:281-991-7700
Practice Address - Street 1:5010 CRENSHAW RD
Practice Address - Street 2:SUITE 130
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3097
Practice Address - Country:US
Practice Address - Phone:281-991-2200
Practice Address - Fax:281-991-7700
Is Sole Proprietor?:No
Enumeration Date:2009-08-08
Last Update Date:2013-08-01
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Provider Licenses
StateLicense IDTaxonomies
TX11230111NX0800X
TX776968363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111NX0800XChiropractic ProvidersChiropractorOrthopedic