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Organization
MICHAEL RAY GERDTS LTD
Active
Organization
MICHAEL RAY GERDTS LTD
Active
Other names
VISION SOURCE - RESEARCH FOREST
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R. GERDTS OD (DOCTOR OF OPTOMETRY)
(281) 466-1700
Entity
Organization
Contact information
Practice address
1508 RESEARCH FOREST DR, SUITE 200, SHENANDOAH, TX 77381-4374
(281) 466-1700
(281) 466-1704
Mailing address
1508 RESEARCH FOREST DR, SUITE 200, SHENANDOAH, TX 77381-4374
(281) 466-1700
(281) 466-1704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6836T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6836T
TEXAS OPTOMETRY LICENSE
TX
Enumeration date
05/08/2009
Last updated
05/08/2009
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