NPI | 1679734628 |
---|---|
Doing Business As | ROGER C WILLETTE MD; PA |
Entity Type | Organization |
Authorized Contact | CAREY KNEUPPER Practice Administrator 281-333-1213 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX G6771) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2008-07-08 |