Organization
HERMAN H GERDES III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEL C GERDES (SECRETARY)
(254) 776-3423
Entity
Organization
Contact information
Practice address
4949 FRANKLIN AVE, WACO, TX 76710-6900
(254) 776-3423
(254) 776-3465
Mailing address
4949 FRANKLIN AVE, WACO, TX 76710-6917
(254) 776-3423
(254) 776-3465
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2467TG
TX
332H00000X
Eyewear Supplier
Primary
2467TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054FA
BLUE CROSS
TX
01
—
80623Q
BLUE CROSS
—
Enumeration date
01/03/2008
Last updated
02/25/2008
Update your record
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