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

Mark S Lisch, DPM

Individual provider Podiatrist · NPI 1124094958

Mark S Lisch, DPM is a Podiatrist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6816 Shadow Creek Ct
Fort Worth, TX 76132-4522
Phone: (832) 368-6841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 0787 (TX)

Record details

NPI number1124094958
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedFebruary 23, 2006
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing addressPo Box 16918, Fort Worth, TX 76162-0918

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