Individual
MICHAEL JUSTIN ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4411 OLD BULLARD RD STE 501, TYLER, TX 75703-1215
(903) 630-5600
(903) 630-5601
Mailing address
4411 OLD BULLARD RD STE 501, TYLER, TX 75703-1215
(903) 630-5600
(903) 630-5601
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80319
TX
Other
Enumeration date
03/26/2018
Last updated
07/02/2019
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