Mark Allen Chisum in Lubbock - Athletic Trainer
Mark Allen Chisum - NPI 1790900405
Mark Allen Chisum is a Athletic Trainer in Lubbock, Texas. Mark Allen Chisum practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Mark Allen Chisum is 1790900405. The last update date is 2007-07-09.
Mark Allen Chisum's current location address is 237 Genoa Ave, Lubbock, Texas. You can contact this provider via phone number 8067915178 and fax number 8067424265. The mailing address for Mark Allen Chisum is 237 Genoa Ave, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Allen Chisum |
|---|---|
| Address | 237 Genoa Ave, Lubbock, Texas |
| Phone Number | 8067915178 |
| Fax Number | 8067424265 |
| Sole Proprietor | Y |
| Credentials | ATC LAT |
NPI Number Detail
| NPI Number | 1790900405 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 237 Genoa Ave |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794161707 |
| Phone Number | 8067915178 |
| Fax Number | 8067424265 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | ATO692 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Post Comment/ Review Below
What is the unique identifier code issued to Mark Allen Chisum by the Centers for Medicare & Medicaid Services?
The Mark Allen Chisum has been assigned the NPI (National Provider Identifier) 1790900405. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark Allen Chisum is located?
The Mark Allen Chisum is situated at the following address: 237 Genoa Ave, Lubbock, TX, 794161707.
What is Mark Allen Chisum's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Allen Chisum is Athletic Trainer, and the taxonomy classification code that categorizes this area of expertise is 2255A2300X.
On what date was the 1790900405 assigned to Mark Allen Chisum?
The Mark Allen Chisum was issued its 1790900405 on 2007-04-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mark Allen Chisum, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Allen Chisum, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
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