East Texas Hearing AIDS, LLC

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

Legal business name

EAST TEXAS HEARING AIDS, LLC

Practice address

4411 Old Bullard Rd Ste 501
Tyler, TX 75703-1215

Phone

(903) 630-5600

Fax

(903) 630-5601

NPI assigned

Jul 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Justin RoachNPI 1124523907

Title

Owner/Hearing Instrument Specialist

Phone

(903) 630-5600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Justin Roach

  • Hearing Instrument Specialist
  • Tyler, TX
  • NPI 1124523907
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1164074126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 OLD BULLARD RD STE 501",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031215",
            "telephone_number": "903-630-5600",
            "fax_number": "903-630-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 OLD BULLARD RD STE 501",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031215",
            "telephone_number": "903-630-5600",
            "fax_number": "903-630-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS HEARING AIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/HEARING INSTRUMENT SPECIALIST",
        "authorized_official_telephone_number": "903-630-5600"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Tyler, TX
• Providers in Tyler, TX by specialty
• Hearing Instrument Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.