Individual
MICHAEL DEAN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 WSW LOOP 323 STE 100, TYLER, TX 75701-7201
(903) 595-5580
(903) 526-3882
Mailing address
1400 WSW LOOP 323 STE 100, TYLER, TX 75701-7201
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80202
TX
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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