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Individual

DR. HERMAN H GERDES III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4949 FRANKLIN AVE, WACO, TX 76710-6900
(254) 776-2282
Mailing address
4949 FRANKLIN AVE, WACO, TX 76710-6900
(254) 776-2282

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2467TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019234601
TX
01
113466100
FIRST CARE
TX
01
410045433
PALMETTO GBA RAILROAD MEDICARE
TX
01
80623Q
BLUE CROSS BLUE SHEILD
TX
Enumeration date
08/25/2006
Last updated
03/14/2013
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