Individual ProviderCharles E MannerInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2130 W Holcombe Blvd, 10th Floor, Houston, TX 77030-3304(713) 600-0900(713) 800-0660PECOS EnrollmentBased on the most recent information from CMS, provider Charles E Manner 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 yesterday at 11:26 AM.Profile DetailsProvider ID1760443782Provider TypeIndividualFull NameManner, Charles ECredentialM. D.GenderMaleSole ProprietorNoEnumeration Date3/29/2006Last Updated9/15/2022Contact InformationPractice LocationPractice Address2130 W Holcombe Blvd, 10th Floor, Houston, TX 77030-3304Phone(713) 600-0900Fax(713) 600-0070Mailing LocationMailing Address1140 Business Center Dr Ste 202, Houston, TX 77043-2741Phone(713) 800-0660Fax(713) 827-1380Provider TaxonomiesCodeDescriptionLicenseCode207RH0003XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseF1773TexasProvider IdentifiersIDDescriptionIssuerID4010662DescriptionOtherIssuerAETNA PROVIDER #ID85274NDescriptionOtherIssuerBLUECHOICE SOLUTIONID137449805DescriptionMedicaidIssuerUnlistedTexasID2224612DescriptionOtherIssuerBLUE LINK #ID10014424DescriptionOtherIssuerAMERICAID STARID830005870DescriptionOtherIssuerRAILROAD MEDICAREID25166DescriptionOtherIssuerAMERIGROUPID137449802DescriptionMedicaidIssuerUnlistedTexas