Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wiley Roosth MD & Associates

Organization Family Medicine Physician · NPI 1104059955

Wiley Roosth MD & Associates is a Family Medicine Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009

Practice location Address checks out

1025 Hospital Dr
Tyler, TX 75701-2023
Phone: (903) 592-8181
Fax: (903) 592-8113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence B9174 (TX)

Record details

NPI number1104059955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wiley Roosth — Ceo · (903) 592-8181
NPI enumeratedAugust 27, 2009
Last updated in NPPESAugust 27, 2009
Mailing address1025 Hospital Dr, Tyler, TX 75701-2023

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