Most Relevant Information
Provider Data
| NPI Number: | 1003535444 |
| Provider Name: | TAMARA ROACH |
| Entity Type: | Individual |
| Taxonomy Code: | 237700000X |
| Specialty: | Hearing Instrument Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2022 |
| Last Updated: | 08/26/2022 |
Provider Practice Location
1400 WSW LOOP 323 STE 100
TYLER
TX
757017201
Practice Location Phone/Fax
| Phone: | 9035955580 |
| Fax: |
Provider Mailing Location
1400 WSW LOOP 323 STE 100
TYLER
TX
757017201
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |