Mark Chisum, ATC LAT

NPI: 1790900405

Mark Chisum, ATC LAT

Q: What is Mark Chisum's NPI number?

Mark Chisum's NPI number is 1790900405, a unique 10-digit identifier issued by CMS.

Q: What does Mark Chisum specialize in?

Mark Chisum specializes in Specialty not listed, taxonomy code 2255A2300X.

Q: Where does Mark Chisum practice?

Mark Chisum practices in Lubbock, TX 79416.

Q: When was Mark Chisum's NPI issued?

Mark Chisum's NPI was issued on April 16, 2007.

Q: What is Mark Chisum's provider type?

Mark Chisum is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: April 16, 2007

Quick Facts

NPI Number

1790900405

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy2255A2300X — Specialty not listed

Phone

(806) 742-5111

StateTX

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1790900405)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (April 16, 2007)

Data source: CMS NPPES

Provider Overview

MARK CHISUM, ATC LAT is a Healthcare provider based in Lubbock, TX who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790900405

Provider TypeIndividual Provider

GenderMale

CredentialATC LAT

StatusActive

Enumeration DateApril 16, 2007

Practice Location

CityLubbock

StateTX

ZIP Code79416

Phone(806) 742-5111

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code2255A2300X

License StateTX

Mailing Address

CityLubbock

StateTX

ZIP Code79416

Phone(806) 742-5111

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1790900405 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790900405for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790900405 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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