RL Roberts Ms LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RL ROBERTS MS LLC

Doing business as

Ron L Roberts MS

Practice address

606 S Fleishel Ave
Tyler, TX 75701-2012

Phone

(903) 581-0933

Fax

(903) 581-3977

NPI assigned

Jan 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ron L Roberts, MS

Title

Owner

Phone

(903) 581-0933

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ron L Roberts MS Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Marie Vail, M.D.

  • Psychiatry Physician
  • Tyler, TX
  • NPI 1700885605
  NPD
• Christi Lynn Lawson, LCSW

  • Clinical Social Worker
  • Flint, TX
  • NPI 1245387539
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1053181032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-581-0933",
            "fax_number": "903-581-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012012",
            "telephone_number": "903-581-0933",
            "fax_number": "903-581-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RL ROBERTS MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-581-0933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95882905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ron L Roberts MS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ron L Roberts MS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francisco M. Rivera, FNP,ACNP
• Sheila Rivera
• Roger Rivers
• Ghousia Rizvi, M.D.
• Erin Nicole Rizzo, MD
• Rmo Eyecare
• Rmo Eyecare, LLC
• RN First Assist of Tyler
• Alexandra F Roach, PHARM D.
• Lameshia Roach

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tyler, TX
• Providers in Tyler, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.