Provider Demographics
NPI:1053294033
Name:M.E. RESOURCES, LLC
Entity type:Organization
Organization Name:M.E. RESOURCES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MACY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROACH
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:430-206-2088
Mailing Address - Street 1:PO BOX 821
Mailing Address - Street 2:
Mailing Address - City:JUDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75660-0821
Mailing Address - Country:US
Mailing Address - Phone:430-206-2088
Mailing Address - Fax:430-205-1073
Practice Address - Street 1:911 W LOOP 281 STE 211-4
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-2900
Practice Address - Country:US
Practice Address - Phone:430-206-2088
Practice Address - Fax:430-205-1073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner