Individual
DR. ROGER C WILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1051 PINELOCH DR STE 600, HOUSTON, TX 77062-2738
(281) 990-9979
Mailing address
1051 PINELOCH DR STE 600, HOUSTON, TX 77062-2738
(281) 990-9979
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G6771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097810801
—
TX
Enumeration date
06/06/2006
Last updated
07/27/2009
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