Organization
SOPER BROTHERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS P. SOPER B.C.O, F.C.L.S.A. (PRESIDENT)
(713) 521-1263
Entity
Organization
Contact information
Practice address
1213 HERMANN DR STE 320, PARK PLAZA PROFESSIONAL BUILDING, HOUSTON, TX 77004-7000
(713) 521-1263
(713) 521-1264
Mailing address
1213 HERMANN DR STE 320, PARK PLAZA PROFESSIONAL BUILDING, HOUSTON, TX 77004-7000
(713) 521-1263
(713) 521-1264
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
DR3105
TX
156FC0801X
Contact Lens Fitter
DR3105
TX
156FX1700X
Ocularist
Primary
81-160-05
—
332B00000X
Durable Medical Equipment & Medical Supplies
81-160-05
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086142901
—
TX
01
—
38074
CIDC
TX
01
—
DR3105
TWC
TX
Enumeration date
10/10/2006
Last updated
10/02/2008
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