MRS. TINA FAYE LUCK NP-C NPI 1033549670

NPI Information

  • NPI: 1033549670
  • Provider Name: MRS. TINA FAYE LUCK, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 36 E TWOHIG AVE STE 1100
    SAN ANGELO, TX
    ZIP 76903
  • Phone: (325) 658-6524

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NPI Details

MRS. Tina Faye Luck, NP-C is a family nurse practitioner in San Angelo, TX. MRS. Tina Faye Luck, NP-C NPI is 1033549670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

36 E TWOHIG AVE STE 1100
SAN ANGELO, TX
ZIP 76903
Phone: (325) 658-6524
Fax: (325) 658-8895

The NPI 1033549670 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/18/2013 and was last updated on 6/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP124485TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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