NPI 1124523907

Michael Justin Roach

Practitioner Hearing Instrument Specialist Tyler, TX

Practice location

Address: 4411 Old Bullard Rd STE 501, Tyler, TX 75703-1215
Phone: (903) 630-5600
Fax: (903) 630-5601

Registered specialties

Hearing Instrument Specialist Primary

Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence 80319 (TX)

Other Hearing Instrument Specialist providers in Texas →

Registry record

NPI: 1124523907
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Mar 2018
Record last updated: 2 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.