Individual provider · Type 1 NPI
Mark Lidasan
Psychiatric/Mental Health Nurse Practitioner · Missouri City, TX
NPI number
1396385662
Active
Practice location
7070 Knights Ct Ste 1701
Missouri City, TX 77459-5551
Fax (832) 281-1383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 144499 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1396385662
Mark Lidasan's National Provider Identifier is 1396385662, issued on Jan 14, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Missouri City, TX. The record was last updated on Apr 3, 2025.