Provider Demographics
NPI:1447951553
Name:LUKSCH, ESTRELLA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ESTRELLA
Middle Name:
Last Name:LUKSCH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11418 CEDAR GULLY RD
Mailing Address - Street 2:
Mailing Address - City:BEACH CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77523-8279
Mailing Address - Country:US
Mailing Address - Phone:713-825-9583
Mailing Address - Fax:
Practice Address - Street 1:11418 CEDAR GULLY RD
Practice Address - Street 2:
Practice Address - City:BEACH CITY
Practice Address - State:TX
Practice Address - Zip Code:77523-8279
Practice Address - Country:US
Practice Address - Phone:713-825-9583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX838697163W00000X
TX1089292363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse