Tracy Lynn Luster in Houston - Physician Assistant
Tracy Lynn Luster - NPI 1063567774
Tracy Lynn Luster is a Physician Assistant in Houston, Texas. Tracy Lynn Luster practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracy Lynn Luster is 1063567774. The last update date is 2010-08-19.
Tracy Lynn Luster's current location address is 1515 Holcombe Blvd, Houston, Texas. You can contact this provider via phone number 7137926161. The mailing address for Tracy Lynn Luster is 1515 Holcombe Blvd, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Lynn Luster |
|---|---|
| Address | 1515 Holcombe Blvd, Houston, Texas |
| Phone Number | 7137926161 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063567774 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2010-08-19 |
Provider Mailing Address Detail
| Address | 1515 Holcombe Blvd |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770304009 |
| Phone Number | 7137926161 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03905 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 195671601 | TX | -- | |
| 8N4918 | TX | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tracy Lynn Luster?
The Tracy Lynn Luster has been issued the NPI (National Provider Identifier) 1063567774 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Tracy Lynn Luster is physically located?
The Tracy Lynn Luster is physically situated at the following address: 1515 Holcombe Blvd, Houston, TX, 770304009.
What is Tracy Lynn Luster's area of expertise and its corresponding taxonomy classification?
The Tracy Lynn Luster's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Tracy Lynn Luster's 1063567774 issued?
The Tracy Lynn Luster's 1063567774 was issued on 2007-01-24.
As of what date was the information regarding Tracy Lynn Luster, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracy Lynn Luster, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-08-19.