Mark Lidasan is a psychiatric/mental health nurse practitioner in Missouri City, TX with 6 years of experience. Mark Lidasan NPI is 1396385662. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4502 RIVERSTONE BLVD STE 601
MISSOURI CITY, TX
ZIP 77459-205
Phone: (281) 778-9530
Fax: (281) 778-9532
The NPI 1396385662 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/14/2020 and was last updated on 2/10/2020.