Individual
DR. CHARLES N SOPARKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
3730 KIRBY DR, SUITE 900, HOUSTON, TX 77098-3905
(713) 795-0705
(713) 807-0630
Mailing address
3730 KIRBY DR, SUITE 900, HOUSTON, TX 77098-3905
(713) 795-0705
(713) 807-0630
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
J6247
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235222167
GROUP NPI
TX
05
—
135956402
—
TX
01
—
1659464550
NPI
TX
01
—
J6247
TX STATE LICENSE
—
Enumeration date
10/02/2006
Last updated
06/18/2020
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