We solve the Dirac equation approximately for the attractive scalar S(r) and repulsive vector V(r) Hulthén potentials including a Coulomb-like tensor potential with arbitrary spin-orbit coupling quantum number κ. In the framework of the spin and pseudospin symmetric concept, we obtain the analytic energy spectrum and the corresponding two-component upper- and lower-spinors of the two Dirac particles by means of the Nikiforov–Uvarov method in closed form. The limit of zero tensor coupling and the non-relativistic solution are obtained. The energy spectrum for various levels is presented for several κ values under the condition of exact spin symmetry in the presence or absence of tensor coupling.