SearchTexas1223G0001X

Matthew Roach, DMD

NPI 1518677277 · on the registry since 2022

Practice

Address
271 Fort Richardson Ave
Goodfellow Afb, TX 76908
Phone
(325) 654-3050
Organisation at this address
17th Medical Group
17th Medgrp-Goodfellow
17th Medgrp-Goodfellow
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Additional practice sites

  • 92 Nealy Blvd, Hampton, VA

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
390200000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas