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Individual

LUKE STANLEY PLUCHECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, APRN, CPNP-AC

Contact information

Practice address
4410 MEDICAL DR STE 550, SAN ANTONIO, TX 78229-3755
(210) 575-7870
(210) 575-6131
Mailing address
4410 MEDICAL DR STE 550, SAN ANTONIO, TX 78229-3755
(210) 575-7870
(210) 575-6131

Taxonomy

Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
936274
TX
363L00000X
Nurse Practitioner
Primary
1113743
TX
363LA2100X
Acute Care Nurse Practitioner
1113743
TX
363LP0200X
Pediatric Nurse Practitioner
1113743
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
936274
RN LICENSE NUMBER
TX
Enumeration date
03/06/2023
Last updated
03/27/2023
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