Lidasan, Mark
Lidasan, Mark is an sole proprietor health care provider with primary practice located at 4502 Riverstone Blvd Ste 601 , Missouri City TX 77459-5205. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Lidasan, Mark can be contacted via phone (281) 778-9530.Contact Information
Primary practice address
4502 Riverstone Blvd Ste 601
Missouri City TX 77459-5205
Phone: (281) 778-9530
Fax: (281) 778-9532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 144499 | Texas |
Profile Details
| NPI number | 1396385662 |
|---|---|
| LBN Legal business name | Lidasan, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2020 |
| Last updated | Feb 10th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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