# AMY K LUCZAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487884672
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA05821 | TX | Yes |
| 363AS0400X | Surgical Physician Assistant | PA05821 | TX | — |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 10/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1487884672 | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 209315504 | — | TX |
| 05 | — | 209315505 | — | TX |
| 01 | — | 884N22 | BCBS | TX |
| 01 | — | P01152529 | RR MEDICARE | TX |
| 01 | — | P01337851 | RR MEDICARE | TX |