Provider Demographics
NPI:1720263908
Name:T.L.ROBERTS ENTERPRISES
Entity Type:Organization
Organization Name:T.L.ROBERTS ENTERPRISES
Other - Org Name:ROBERTS HEARING CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:318-442-9812
Mailing Address - Street 1:4007 PARLIAMENT DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3018
Mailing Address - Country:US
Mailing Address - Phone:318-442-9812
Mailing Address - Fax:318-449-4985
Practice Address - Street 1:4007 PARLIAMENT DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3018
Practice Address - Country:US
Practice Address - Phone:318-442-9812
Practice Address - Fax:318-449-4985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2580237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty