MICHAEL JUSTIN ROACH NPI 1124523907

NPI Information

  • NPI: 1124523907
  • Provider Name: MICHAEL JUSTIN ROACH
  • Classification: Hearing Instrument Specialist - 237700000X
  • Entity Type: Individual
  • Address: 4411 OLD BULLARD RD STE 501
    TYLER, TX
    ZIP 75703
  • Phone: (903) 630-5600

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NPI Details

Michael Justin Roach is a hearing instrument specialist in Tyler, TX. The provider is individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society Michael Justin Roach NPI is 1124523907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4411 OLD BULLARD RD STE 501
TYLER, TX
ZIP 75703-215
Phone: (903) 630-5600
Fax: (903) 630-5601

The enumeration date for this NPI number is 3/26/2018 and was last updated on 7/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1237700000XHearing Instrument Specialist80319TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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