Mark S Lisch is a Podiatrist in Fort Worth, Texas. Mark S Lisch practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mark S Lisch is 1124094958. The last update date is 2021-10-04.
Mark S Lisch's current location address is 6816 Shadow Creek Ct, Fort Worth, Texas. You can contact this provider via phone number 8323686841. The mailing address for Mark S Lisch is 6816 Shadow Creek Ct, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark S Lisch |
|---|---|
| Address | 6816 Shadow Creek Ct, Fort Worth, Texas |
| Phone Number | 8323686841 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1124094958 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2021-10-04 |
Provider Mailing Address Detail
| Address | 6816 Shadow Creek Ct |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761324522 |
| Phone Number | 8323686841 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 787 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85279001 | TX | -- | |
| 82Y991 | TX | BCBS | |
| 92841802 | TX | -- |
Post Comment/ Review Below
What is the Mark S Lisch's 1124094958?
The Mark S Lisch's NPI (National Provider Identifier) Number is 1124094958. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark S Lisch's facilities are situated?
The facilities of Mark S Lisch are physically located at the following address: 6816 Shadow Creek Ct, Fort Worth, TX, 761324522.
What is the Mark S Lisch's specialty and taxonomy code?
The Mark S Lisch's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
When did Mark S Lisch receive its 1124094958 assignment?
The Mark S Lisch was assigned its 1124094958 on 2006-02-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Mark S Lisch, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark S Lisch, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-10-04.
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