ROGER C WILLETTE MD; PA
NPI 1679734628
Specialist in Houston, TX

Active since June 23, 2008
1322 SPACE PARK DR, STE B150, HOUSTON, TX 77058(281) 333-1213(281) 333-9573 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roger C Willette Md; Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER C WILLETTE MD; PA (NPI 1679734628) is a healthcare organization registered as a specialist in Houston, Texas and active in the NPI registry since June 2008. The organization lists Carey Kneupper, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1679734628
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameROGER C WILLETTE MD; PA
Location Address1322 SPACE PARK DR, STE B150Houston, TX 77058-3400
Mailing AddressPo Box 57805Webster, TX 77598-7805 · (281) 333-1213
Fax(281) 333-9573
Organization SubpartNo
Authorized OfficialCarey KneupperPractice Administrator · (281) 333-1213
Enumeration DateJune 23, 2008
Last NPPES UpdateJuly 8, 2008
NPI 1679734628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · G6771
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1322 SPACE PARK DR, Houston, TX 77058

Other Names 1

Doing Business AsRoger C Willette Md; Pa

Other Identifiers 3

Medicare UPINC23504TX
Medicaid097810801TX
Medicare PIN00D01FTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1322 SPACE PARK DR, SUITE B205
HOUSTON, TX 77058
Specialist/Technologist, Other (Surgical Assistant)
1322 SPACE PARK DR, C-102
HOUSTON, TX 77058
Counselor (Mental Health)
1322 SPACE PARK DR, SUITE C105
HOUSTON, TX 77058
Nurse Practitioner (Adult Health)
1322 SPACE PARK DR, A194
HOUSTON, TX 77058
Family Medicine
1322 SPACE PARK DR
HOUSTON, TX 77058
Counselor (Professional)
1322 SPACE PARK DR, C155
HOUSTON, TX 77058
Durable Medical Equipment & Medical Supplies
1322 SPACE PARK DR, #A203
HOUSTON, TX 77058
Clinical Medical Laboratory
1322 SPACE PARK DR, SUITE A195
HOUSTON, TX 77058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger C Willette Md; PA's NPI number?

The NPI number for Roger C Willette Md; PA is 1679734628. It was assigned to this organization in the NPPES registry on June 23, 2008.

Where is Roger C Willette Md; PA located?

Roger C Willette Md; PA is located at 1322 Space Park Dr Ste B150, Houston, TX 77058. The listed phone number is (281) 333-1213.

What is Roger C Willette Md; PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Roger C Willette Md; PA was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.