MARK LIDASAN

MISSOURI CITY, TX
NPI1396385662
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  144499)
Enumeration Date2020-01-14
Last Update Date2020-02-10
Business Address
MARK LIDASAN
4502 RIVERSTONE BLVD STE 601
MISSOURI CITY, TX 77459-5205
Phone number: 281-778-9530
Mailing Address
MARK LIDASAN
4502 RIVERSTONE BLVD STE 601
MISSOURI CITY, TX 77459-5205
Phone number: 281-778-9530
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