MRS. TINA FAYE LUCK


Address: 36 E Twohig Ave Ste 1100, San Angelo, TX 76903
Phone: 3256586524

MRS. TINA FAYE LUCK (NPI# 1033549670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033549670
Entity Type Individual
Full Name MRS. TINA FAYE LUCK
Credential NP-C
Practice Address 36 E Twohig Ave Ste 1100
San Angelo
TX 76903
Mailing Address 3005 Grandview Dr
San Angelo
TX 76904-8145
Practice Telephone 3256586524
Practice Fax Number 3256588895
Mailing Telephone 3252262462
Enumeration Date 2013-11-18
Last Update Date 2018-06-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP124485 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 36 E TWOHIG AVE STE 1100
City SAN ANGELO
State TX
Zip Code 76903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225504392 Kasey Heintzelman Nurse Practitioner 36 E Twohig Ave Ste 1100, San Angelo, TX 76903-6473 2018-10-16
1063911618 The West Texas Rehabilitation Center Hospice, Inpatient 36 E Twohig Ave Ste 1100, San Angelo, TX 76903-6473 2018-02-09

Providers in the same zip code

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1306386081 The Waterford Wellness Spa Clinic/Center 602 S. Abe, San Angelo, TX 76903 2017-03-01
1154782415 Jerrica Elayne Escobedo Counselor 424 South Oakes, San Angelo, TX 76903 2016-03-15
1578923868 Wal-mart Stores Texas, LLC Technician/Technologist 3440 S. Bryant Blvd, San Angelo, TX 76903 2016-02-29
1821475161 San Angelo Dental, Pllc Dentist 614 29th Street, Suite, Sanangelo, TX 76903 2015-05-06
1295087294 Tara Joiner Counselor 27 W Beauregard Ave, San Angelo, TX 76903 2012-10-15
1225380728 Tanya L Favor Physician Assistant 215 E. College, San Angelo, TX 76903 2012-10-08
1336459551 Education Service Center Social Worker 612 S Irene, San Angelo, TX 76903 2010-10-21
1508194176 Pay and Save Inc Pharmacy 1926 N. Bryant Blvd., San Angelo, TX 76903 2009-11-19
1326375734 Pay and Save Inc Pharmacy 2 S. Main St., San Angelo, TX 76903 2009-11-05
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851992515 Stacie A Gregg Nurse Practitioner 1229 Johnny Ln, San Angelo, TX 76905-2331 2020-11-07
1487269064 Delilah Deguire-guerra Nurse Practitioner 143 Oakwood St, San Angelo, TX 76903-8631 2020-09-10
1215571914 Dawn Cumbie Burwick Nurse Practitioner 431 W 34th St, San Angelo, TX 76903-2323 2019-11-05
1033767504 Kate Elizabeth Young Nurse Practitioner 1621 Iowa Ave, San Angelo, TX 76904-6888 2019-08-28
1760034698 Lisbet Ivicic Nurse Practitioner 351 Kearney Blvd, San Angelo, TX 76908-3215 2019-07-11
1487096665 Mary Beth Luttrell Nurse Practitioner 1610s Chadbourne St, San Angelo, TX 76903-8510 2013-07-29
1336490614 Toyha Drew Harper Nurse Practitioner 1601 S Chadbourne St, San Angelo, TX 76903-8509 2012-09-26
1992944565 Kathe Ann Conner Nurse Practitioner 1901 Johnson St, San Angelo, TX 76909-0001 2009-02-05
1083859946 David Earl Cooper Nurse Practitioner 1825 Christoval Rd, San Angelo, TX 76903-8602 2008-12-06
1821245929 Roseann Hester Nurse Practitioner Angelo State University Clinic, San Angelo, TX 76909-0001 2008-08-20
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Competitor

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City SAN ANGELO
Zip Code 76903

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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