Individual
DR. LISA MONA KOPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6560 FANNIN ST STE 1632, HOUSTON, TX 77030-2734
(713) 255-4000
(713) 255-4050
Mailing address
PO BOX 4346, DEPT 794, HOUSTON, TX 77210-4346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M2680
TX
207RP1001X
Pulmonary Disease Physician
Primary
M2680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8BZ439
BCBS
TX
01
—
8L17852
MEDICARE
TX
Enumeration date
03/30/2008
Last updated
11/16/2023
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