Individual
MR. MARK J PIDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 PEAKWOOD DR, SUITE 2C, HOUSTON, TX 77090
(713) 486-4650
(281) 440-0759
Mailing address
6550 FANNIN ST, SUITE 2307, HOUSTON, TX 77030-2717
(713) 486-4600
(713) 790-9251
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
K6239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037009002
—
TX
Enumeration date
08/13/2006
Last updated
06/01/2018
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