Mark S Lisch is a Fort Worth, Texas based male podiatrist who is specialized in Podiatry. Active license number of Mark S Lisch for Podiatry is 0787 in Texas. Mark S Lisch is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mark S Lisch speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
6816 Shadow Creek Ct, Fort Worth, Texas, 76132-4522
Phone:
832-368-6841
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1124094958
NPI Enumeration Date:
23 Feb, 2006
NPI Last Update On:
04 Oct, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark S Lisch are as mentioned below.
License Number
Specialization
State
Status
0787
Podiatry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark S Lisch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
085279001
Medicaid
Texas
82Y991
Other
Texas
BCBS
092841802
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 16918, Fort Worth, Texas
Zip:
76162-0918
Phone Number:
323-686-8418
Fax Number:
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Patients can reach Mark S Lisch at 6816 Shadow Creek Ct, Fort Worth, Texas or can call to book an appointment on 832-368-6841. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
Similar Podiatrist in Fort Worth, TX
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