IndividualActive
Dallas Diederich, PA-C
NPI 1982729216 · Physician Assistant · Flint, TX
Provider details
- NPI number
- 1982729216
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA00509 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
20208 State Highway 155 S
Flint, TX 75762-5600
Phone: (903) 825-6222
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 846098
Dallas, TX 75284-6098
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2015-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.