Provider Demographics
NPI:1902218621
Name:EMERY, LETTY ROCHA (MD)
Entity Type:Individual
Prefix:
First Name:LETTY
Middle Name:ROCHA
Last Name:EMERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LETTY
Other - Middle Name:
Other - Last Name:ROCHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4401 GARTH RD.
Mailing Address - Street 2:MEDICAL EDUCATION OFFICE
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521
Mailing Address - Country:US
Mailing Address - Phone:951-347-8664
Mailing Address - Fax:
Practice Address - Street 1:4401 GARTH RD.
Practice Address - Street 2:MEDICAL EDUCATION OFFICE
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521
Practice Address - Country:US
Practice Address - Phone:951-347-8664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX584588207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine