Individual
ERIC LEE KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
886 E LENNON DR STE 102, EMORY, TX 75440-3216
(903) 474-9090
(903) 474-9111
Mailing address
886 E LENNON DR STE 102, EMORY, TX 75440-3216
(903) 474-9090
(903) 474-9111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7878T
TX
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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