Individual
JIM A ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 SHADOW RIDGE DR, LEWISVILLE, TX 75077-1805
(817) 320-1000
Mailing address
905 SHADOW RIDGE DR, LEWISVILLE, TX 75077-1805
(817) 320-1000
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
RESEARCHER
TX
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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