Provider Demographics
NPI:1346529526
Name:MARK H COPAS DDS
Entity Type:Organization
Organization Name:MARK H COPAS DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:H
Authorized Official - Last Name:COPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-351-9584
Mailing Address - Street 1:14025 1/2 FM 2920 RD
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-5501
Mailing Address - Country:US
Mailing Address - Phone:281-351-9584
Mailing Address - Fax:281-374-1913
Practice Address - Street 1:14025 1/2 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-5501
Practice Address - Country:US
Practice Address - Phone:281-351-9584
Practice Address - Fax:281-374-1913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental