Individual ProviderAmanda M ParkesInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1515 Holcombe Blvd, Houston, TX 77030(713) 792-6161PECOS EnrollmentBased on the most recent information from CMS, provider Amanda M Parkes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1366706822Provider TypeIndividualFull NameParkes, Amanda MCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/29/2012Last Updated2/2/2022Contact InformationPractice LocationPractice Address1515 Holcombe Blvd, Houston, TX 77030Phone(713) 792-6161FaxUnlisted FaxMailing LocationMailing Address1013 Winding Way, Middleton, WI 53562-5079PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RH0003XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense68442-20WisconsinProvider IdentifiersIDDescriptionIssuerID373589601DescriptionMedicaidIssuerUnlistedTexasID373589602DescriptionMedicaidIssuerUnlistedTexas