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Mark Chisum, ATC LAT
NPI 1790900405 · on the registry since 2007 · sole proprietor
Practice
- Address
- 237 Genoa Avenue
Lubbock, TX 79416 - Phone
- (806) 742-5111
- Fax
- (806) 742-4265
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas