Provider Demographics
NPI:1821975368
Name:HEARING CENTER OF WEST TEXAS PLLC
Entity type:Organization
Organization Name:HEARING CENTER OF WEST TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JADE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-686-7474
Mailing Address - Street 1:4214 ANDREWS HWY STE 100B
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-4872
Mailing Address - Country:US
Mailing Address - Phone:432-686-7474
Mailing Address - Fax:432-686-7524
Practice Address - Street 1:4214 ANDREWS HWY STE 100B
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-4872
Practice Address - Country:US
Practice Address - Phone:432-686-7474
Practice Address - Fax:432-686-7524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment