Individual
COURTNEY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1510 S VINE AVE, TYLER, TX 75701-2826
(903) 526-4055
Mailing address
303 TULLY TRL, WHITEHOUSE, TX 75791-3127
(903) 921-0060
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
326670
TX
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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