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Lisa Mona Kopas

Internal Medicine

Allopathic & Osteopathic Physicians

6560 Fannin St Ste 1632, Houston, TX 77030-2734

PECOS Enrollment

This provider is enrolled in PECOS as LISA KOPAS.

Based on the most recent information from CMS, provider Lisa Mona Kopas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1174795157
Provider Type
Individual
Full Name
Kopas, Lisa Mona
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/30/2008
Last Updated
11/16/2023

Contact Information

Practice Location

6560 Fannin St Ste 1632, Houston, TX 77030-2734

(713) 255-4000

(713) 255-4050

Mailing Location

PO Box 4346, Dept 794, Houston, TX 77210-4346

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RP1001X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License M2680 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License M2680 Texas

Provider Identifiers

ID	Description	Issuer
ID 8L17852	Description Other	Issuer MEDICARE Texas
ID 8BZ439	Description Other	Issuer BCBS Texas

Lisa Mona Kopas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

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License

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Provider Identifiers

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Mckelvy, Brandy J

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Zahiruddin, Faisal Nomaan

Jimenez, Carlos A.

Heibel, Amy Lascelles

Hoang, Van Vi

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Kaul, Bhavika

Carrasco Barcenas, Cinthya Adriana