Provider Demographics
NPI:1184250987
Name:LUKA, ESLIN MARY (FNP-C)
Entity type:Individual
Prefix:
First Name:ESLIN
Middle Name:MARY
Last Name:LUKA
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 1:201 AMANDA LN STE 300
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1393
Mailing Address - Country:US
Mailing Address - Phone:469-466-6524
Mailing Address - Fax:
Practice Address - Street 1:201 AMANDA LN STE 300
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1393
Practice Address - Country:US
Practice Address - Phone:469-466-6524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-12
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143403363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner