Michael Justin Roach
Hearing Instrument Specialist in Tyler, TX. Individual provider (NPI-1).
NPI number1124523907
StatusActive
Last updated in NPPESJul 2, 2019
Details
- NPI
- 1124523907
- Entity type
- Individual (NPI-1)
- Name
- Michael Justin Roach
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2018
- Last updated
- Jul 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 237700000X | Hearing Instrument Specialist | 80319 | TX | Yes |
Practice location
4411 Old Bullard Rd Ste 501Tyler, TX 75703-1215
Phone 903-630-5600 · Fax 903-630-5601
Mailing address
4411 Old Bullard Rd Ste 501Tyler, TX 75703-1215
Phone 903-630-5600 · Fax 903-630-5601
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All 22 Hearing Instrument Specialist providers in Tyler · All 6,843 providers in Tyler
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