IndividualActive
Courtney Roberts, LVN
NPI 1093485203 · Addiction Medicine (Preventive Medicine) Physician · Tyler, TX
Provider details
- NPI number
- 1093485203
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- License
- 326670 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1510 S Vine Ave
Tyler, TX 75701-2826
Phone: (903) 526-4055
Approximate (ZIP-level) locationGet directions
Mailing address
303 Tully Trl
Whitehouse, TX 75791-3127
Registry dates
- Enumerated
- 2021-09-18
- Last updated
- 2021-09-18
- Certified
- 2021-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.