Mr Ron L Roberts, MS | |
606 S Fleishel Ave, Tyler, TX 75701-2012 | |
(903) 581-0933 | |
(903) 581-3977 |
Full Name | Mr Ron L Roberts |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 606 S Fleishel Ave, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174635379 | NPI | - | NPPES |
99-0414366 | Other | IRS | |
95882905 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 14775 (Texas) | Primary |
103T00000X | Psychologist | 15103 (Texas) | Secondary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Entity Name | Rl Roberts Ms Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053181032 PECOS PAC ID: 0042655615 Enrollment ID: O20240305003021 |
Mailing Address | Practice Location Address |
---|---|
Mr Ron L Roberts, MS 606 S Fleishel Ave Ste 204, Tyler, TX 75701-2012 Ph: (903) 581-0933 | Mr Ron L Roberts, MS 606 S Fleishel Ave, Tyler, TX 75701-2012 Ph: (903) 581-0933 |
Mr. Laramie C Selman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4101 University Blvd, Tyler, TX 75701 Phone: 903-363-7704 | |
Mrs. Jill Marie Kirkley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3800 Paluxy Dr, Ste 240, Tyler, TX 75703 Phone: 903-630-0422 | |
Mrs. Joy Louise Bevoni, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14023 State Highway 155 S, Tyler, TX 75703 Phone: 903-534-0414 | |
Mr. David Comins Wheeler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5875 Grace Ave, Tyler, TX 75707 Phone: 903-316-5106 | |
Desiree Laurel Glaze, LPC S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Rickety Ln Ste E, Tyler, TX 75703 Phone: 903-330-0601 | |
Lenore Strickland, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5207 Hollytree Dr Apt 905, Tyler, TX 75703 Phone: 903-539-3158 | |
April Michelle Nance, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 S Vine Ave, Tyler, TX 75701 Phone: 903-526-4055 |