EAST TEXAS HEARING AIDS, LLC (NPI# 1164074126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164074126 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS HEARING AIDS, LLC |
| Practice Address |
4411 Old Bullard Rd Ste 501 Tyler TX 75703-1215 |
| Practice Telephone | 9036305600 |
| Practice Fax Number | 9036305601 |
| Mailing Telephone | 9036305600 |
| Mailing Fax Number | 9036305601 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | MICHAEL JUSTIN ROACH (OWNER/HEARING INSTRUMENT SPECIALIST) |
| Authorized Official Telephone | 9036305600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers |
| Street Address |
4411 OLD BULLARD RD STE 501 |
| City | TYLER |
| State | TX |
| Zip Code | 75703-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124523907 | Michael Justin Roach | Hearing Instrument Specialist | 4411 Old Bullard Rd Ste 501, Tyler, TX 75703-1215 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124523907 | Michael Justin Roach | Hearing Instrument Specialist | 4411 Old Bullard Rd Ste 501, Tyler, TX 75703-1215 | 2018-03-26 |
| 1427416130 | Stephanie Duncan | Hearing Instrument Specialist | 844 S Fleishel Ave, Tyler, TX 75701-2042 | 2016-02-09 |
| 1699187534 | Jimmy Maurice Shupe | Hearing Instrument Specialist | 4746 S Broadway Ave, Tyler, TX 75703-1308 | 2014-05-27 |
| 1457621336 | Arlene Michelle Garcia | Hearing Instrument Specialist | 400 Old Grande Blvd, Apt 1905, Tyler, TX 75703-4178 | 2012-01-09 |
| 1346446952 | John Louie Miguez | Hearing Instrument Specialist | 5100 Old Bullard Rd, Suite A, Tyler, TX 75703-3630 | 2007-06-21 |
| 1982765657 | Mtr of Tyler Dba Beltone | Hearing Instrument Specialist | 1400 Wsw Loop 323 Ste 100, Tyler, TX 75701-7201 | 2006-12-13 |
| 1063422194 | Czop Inc | Hearing Instrument Specialist | 844 S. Fleishel Ave., Tyler, TX 75701-2042 | 2006-08-09 |
| 1255962320 | Cameca Shay Rhame | Hearing Instrument Specialist | 2501 E 5th St, Tyler, TX 75701-3544 | 2020-01-28 |
| 1063071694 | Michael Dean Roach | Hearing Instrument Specialist | 1400 Wsw Loop 323 Ste 100, Tyler, TX 75701-7201 | 2019-06-07 |
| 1083176283 | Mary Claire Jolly | Hearing Instrument Specialist | 4746 S Broadway Ave, Tyler, TX 75703-1308 | 2019-04-05 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.