P Praxis·MD
● Active Type 1 · Individual

MR. Mark Allen Chisum, ATC LAT

Specialist/Technologist·Lubbock, TX· NPI 1790900405 · Enumerated 2007 · 19 years on NPI
Chisum is 1 of 103 specialist/technologist providers in Lubbock and 1 of 2956 in Texas.
NPI age
19 years
Enumerated 2007-04-16
Primary specialty
Specialist/Technologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2956 active specialist/technologist providers in Texas.

NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
237 Genoa Avenue
Lubbock, TX 79416
📞 8067425111fax 8067424265
Mailing address
237 Genoa Ave
Lubbock, TX 794161707
📞 8067915178fax 8067424265

Specialties

  • Specialist/Technologist Primary
    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,...
    TX license #ATO692 taxonomy 2255A2300X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new specialist/technologist providers have been added in Lubbock in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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