MR. ROBERT ANTHONY LUKOWICZ (NPI# 1790721470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790721470 |
| Entity Type | Individual |
| Full Name | MR. ROBERT ANTHONY LUKOWICZ |
| Credential | P.A.-C |
| Practice Address |
524 Highway 34 S Quinlan TX 75474-9433 |
| Mailing Address |
9611 Private Road 3826 Quinlan TX 75474-3931 |
| Practice Telephone | 4695952016 |
| Practice Fax Number | 9729628662 |
| Mailing Telephone | 9033562396 |
| Mailing Fax Number | 9729628662 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01124 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE BOARD LICENSE | PA01124 | 01 |
| Street Address |
524 HIGHWAY 34 S |
| City | QUINLAN |
| State | TX |
| Zip Code | 75474-9433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790847317 | Anthony Manning Boucher | Physical Therapist | 8885 Hwy 34 South, Quinlan, TX 75474 | 2006-12-14 |
| 1003911876 | Quinlan Pharmacy L P | Pharmacy | 733 E Quinlan Pkwy, Quinlan, TX 75474 | 2006-09-14 |
| 1558479790 | James E Theken Jr. | Dentist | 9011 Hwy 34 South, Suite A, Quinlan, TX 75474 | 2006-08-28 |
| 1174540876 | Lone Star Wellness | Family Medicine | 525 Hwy 34 South, Suite D, Quinlan, TX 75474 | 2006-07-17 |
| 1053571596 | Mavis O Hampton | Nurse Practitioner | 1607 E Quinlan Pkwy, Quinlan, TX 75474 | 2008-06-09 |
| 1124195524 | Individual Care of Texas, Inc | Assisted Living Facility | 1655 P.r. 2530, Quinlan, TX 75474-1810 | 2006-11-29 |
| 1114077013 | Tanya Lynn Todd | Physical Therapy Assistant | 5945 State Highway 34 S, Quinlan, TX 75474-3233 | 2007-01-11 |
| 1013407592 | Frank Medina | Massage Therapist | 5494 Fm 2101, Quinlan, TX 75474-3437 | 2018-05-10 |
| 1891162947 | Q. M. H. V. Inc. | Physician Assistant | 9611 Private Road 3826, Quinlan, TX 75474-3931 | 2015-08-25 |
| 1477800522 | Medical Billing Consultants | Chronic Disease Hospital | 6404 Brookfield Dr, Quinlan, TX 75474-4204 | 2012-08-08 |
| Find all providers in zip 75474 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891162947 | Q. M. H. V. Inc. | Physician Assistant | 9611 Private Road 3826, Quinlan, TX 75474-3931 | 2015-08-25 |
| 1851317978 | Brittany Renea Fuller | Physician Assistant | 734 E Quinlan Pkwy Ste A, Quinlan, TX 75474-8640 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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| 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.