MEDICARE: ROBERT B. PARKE JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	C2619	KY
2	207Y00000X	Otolaryngology Physician	E1918	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154329894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT B. PARKE JR. M.D.

Provider Business Mailing Address
First Line	:	6550 FANNIN ST
Second Line	:	SUITE 1701-ATT RENEE BROWN
City	:	HOUSTON
State	:	TX
Zip	:	77030-2717
Country	:	US
Telephone Number	:	713-798-8291
Fax Number	:	713-798-5294

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST
Second Line	:	SUITE 1701-ATT RENEE BROWN
City	:	HOUSTON
State	:	TX
Zip	:	77030-2717
Country	:	US
Telephone Number	:	713-798-8291
Fax Number	:	713-798-5294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	06/27/2024

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