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 Date2025-04-03
Business Address
MARK LIDASAN
7070 KNIGHTS CT STE 1701
MISSOURI CITY, TX 77459-5551
Phone number: 346-595-3735
Mailing Address
MARK LIDASAN
7070 KNIGHTS CT STE 1701
MISSOURI CITY, TX 77459-5551
Phone number: 983-293-3173