Organization
CONVERGENCE PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LIDASAN NURSE PRACTITIONER (OWNER)
(832) 933-1735
Entity
Organization
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
(346) 595-3735
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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