Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lupita Marie Nowak, PA-C

Individual provider Physician Assistant · NPI 1679359434

Lupita Marie Nowak, PA-C is a Physician Assistant in League City, Texas. Graduated from Texas a & M University System, Hsc, College of Medicine in 2020, 6 years ago. Practices with UTMB Faculty Group Practice, a 1,074-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
TX
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1600 W League City Pkwy Ste D
League City, TX 77573-6443
Phone: (281) 338-0829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17167 (TX)

Record details

NPI number1679359434
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Utmb Faculty Group Practice — 1074 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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