Individual
MARK LIDASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7070 KNIGHTS CT STE 1701, MISSOURI CITY, TX 77459-5551
(346) 595-3735
(832) 281-1383
Mailing address
7070 KNIGHTS CT STE 1701, MISSOURI CITY, TX 77459-5551
(983) 293-3173
(832) 281-1383
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
144499
TX
Other
Enumeration date
01/14/2020
Last updated
04/03/2025
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