Individual ProviderPatricia Ann RobertsLicensed Vocational NurseNursing Service ProvidersPractice Address1510 S Vine Ave, Tyler, TX 75701-2826(903) 526-4055(903) 399-1444PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Ann Roberts does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:46 AM.Profile DetailsProvider ID1306490198Provider TypeIndividualFull NameRoberts, Patricia AnnCredentialLVNGenderFemaleSole ProprietorNoEnumeration Date7/30/2019Last Updated7/30/2019Contact InformationPractice LocationPractice Address1510 S Vine Ave, Tyler, TX 75701-2826Phone(903) 526-4055FaxUnlisted FaxMailing LocationMailing Address10413 Fm 2204, Longview, TX 75603-4233Phone(903) 399-1444FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense213220Texas