Pineloch Medical Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G6771 Issued in TX

Legal business name

PINELOCH MEDICAL CLINIC PA

Practice address

1051 Pineloch Dr Ste 600
Houston, TX 77062-2738

Phone

(281) 990-9979

NPI assigned

May 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roger Charles Willette, M.D.

Title

President

Phone

(281) 990-9979

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1205060845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PINELOCH DR STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622738",
            "telephone_number": "281-990-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PINELOCH DR STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622738",
            "telephone_number": "281-990-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELOCH MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "WILLETTE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-990-9979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G6771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Leong Pineles, M.D.,PH.D.
• Octavio C Pinell-Midence, M.D.
• Phillip M Pinell, MD
• Pineloch Emergency Care
• Pineloch Infusion Center Inc
• Pinemont Medical (Pinemont medical clinc)
• Pinemont Medical
• Deanna Margarita Pinera-Barton, DDS
• Jorge Andres Pinera Jr.
• Maria Pinero

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.