Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Allen Chisum, ATCLAT

Individual provider Athletic Trainer · NPI 1790900405

Mr. Mark Allen Chisum, ATCLAT is an Athletic Trainer in Lubbock, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007

Practice location Address checks out

237 Genoa Ave
Lubbock, TX 79416 Not confirmed with CMS for 19 years — call before visiting
Phone: (806) 742-5111
Fax: (806) 742-4265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATO692 (TX)

Record details

NPI number1790900405
Entity typeIndividual (Type 1)
GenderMale
Credentials ATCLAT
Sole proprietorYes
NPI enumeratedApril 16, 2007
Last updated in NPPESJuly 9, 2007

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