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

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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: July 19, 2026.

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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

Phone(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

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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