Individual
DR. O KEITH DISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4311 OAK LAWN AVE, STE.# C125, DALLAS, TX 75219-2315
(214) 521-0929
(214) 521-2502
Mailing address
4311 OAK LAWN AVE, STE.# C125, DALLAS, TX 75219-2315
(214) 521-0929
(214) 521-2502
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TX1940TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093189102
—
TX
Enumeration date
10/16/2006
Last updated
06/20/2012
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