Individual
LOUIS C. ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2026 S JACKSON ST, JACKSONVILLE, TX 75766-5822
(903) 541-4500
(903) 589-1594
Mailing address
PO BOX 5500, TYLER, TX 75712-5500
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J2762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034106702
—
TX
01
—
8M6644
BCBS-JACKSONVILLE
TX
Enumeration date
07/24/2006
Last updated
07/15/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us