Provider Demographics
NPI:1689122962
Name:MENSIK, DASHA (FNP)
Entity Type:Individual
Prefix:
First Name:DASHA
Middle Name:
Last Name:MENSIK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 S MASON RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2491
Mailing Address - Country:US
Mailing Address - Phone:713-772-7887
Mailing Address - Fax:713-490-3376
Practice Address - Street 1:539 S MASON RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2491
Practice Address - Country:US
Practice Address - Phone:713-772-7887
Practice Address - Fax:713-490-3376
Is Sole Proprietor?:No
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131803207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine