Individual
DR. KEITH J ERMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1602 N FULTON ST, WHARTON, TX 77488-3065
(979) 532-0805
(979) 532-2084
Mailing address
1602 N FULTON ST, WHARTON, TX 77488-3065
(979) 532-0805
(979) 532-2084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3779TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112429904
—
TX
Enumeration date
01/24/2007
Last updated
06/07/2022
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