P Praxis·MD
● Active Type 1 · Individual

DR. Lucky Lusterio, D.O.

General Practice·Jbsa Lackland, TX· NPI 1609149681 · Enumerated 2012 · 14 years on NPI
Lusterio is 1 of 36 general practice providers in Jbsa Lackland and 1 of 2087 in Texas.
NPI age
14 years
Enumerated 2012-02-21
Primary specialty
General Practice
Plus 1 subspecialty
Licensed in
IN
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2087 active general practice providers in Texas.

NPI age
14 years
↑ 4 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-02Enumerated in NPPES
2012 2026

Where they practice

Practice location
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638
📞 2102923536
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638
📞 2102923536

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    IN license #02004069A taxonomy 208D00000X
  • Preventive Medicine
    Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation...
    IN license #02004069A taxonomy 2083A0100X

Identifiers

TypeValueNotes
01 (IN) 02004069A MEDICAL LICENSE

Practice context

Part of a multi-provider practice. 222 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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