person
Mark Lidasan
Psychiatric/Mental Health Nurse Practitioner in Missouri City, Texas
NPI 1396385662

Mark Lidasan is a Psychiatric/Mental Health Nurse Practitioner based in Missouri City, TX and is specialized in Psychiatric/Mental Health. Mark Lidasan practices in Missouri City, TX. The NPI Number for Mark Lidasan is 1396385662 and holds a License No. 144499 (Texas).

The current practice location address for Mark Lidasan is 4502 Riverstone Blvd Ste 601, Missouri City, TX and can be reached out via phone at 281-778-9530 and via fax at 281-778-9532.

Location: 4502 Riverstone Blvd Ste 601, Missouri City, TX, 77459-5205
person
Provider Profile Details
NPI Number
1396385662
Provider Name
Mark Lidasan
Credential
Provider Entity Type
Individual
Gender
Male
Address
4502 Riverstone Blvd Ste 601, Missouri City, TX, 77459-5205
Phone Number
281-778-9530
Fax Number
281-778-9532
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4502 Riverstone Blvd Ste 601
City
State
Zip
77459-5205
Phone Number
281-778-9530
Fax Number
281-778-9532
person
Provider Business Mailing Address Details
Address
4502 Riverstone Blvd Ste 601
City
State
Zip
77459-5205
Phone Number
281-778-9530
Fax Number
281-778-9532
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
144499 (Texas)
Definition
Definition to come...
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