Luis A Destarac
Allergist & Immunologist Allergist Pulmonary Disease Critical Care Medicine
912 S Fleishel Ave
Tyler
, Texas 75701-2018
Luis A Destarac
Allergist & Immunologist Allergist Pulmonary Disease Critical Care Medicine
912 S Fleishel Ave
Tyler
, Texas 75701-2018
(903) 595-2571
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About
Features
Specialties
- Allergist & Immunologist
- Allergist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Luis A Destarac
- 912 S Fleishel Ave
- Tyler, TX
- Zip : 75701-2018
- Fax : (903) 595-2571
- Phone : (903) 592-6901
Second Address
- Luis A Destarac
- 912 S Fleishel Ave
- Tyler, TX
- Zip : 75701-2018
- Fax : (903) 595-2571
- Phone : (903) 592-6901
Reviews
FAQs
Where did Luis A Destarac attend graduate school?
Where did Luis A Destarac do his residency?
Where did Luis A Destarac do his fellowship?
Is Luis A Destarac board certified?
What type of doctor is Luis A Destarac
In what state does Luis A Destarac practice in?
Where is Luis A Destarac ’s practice located?
What is Luis A Destarac ’s gender?
Is Luis A Destarac a sole practitioner?
Is Luis A Destarac accepting new patients?
What languages does Luis A Destarac speak?
Does Luis A Destarac accept insurance?
Does Luis A Destarac offers telemedicine?
What is Luis A Destarac ’s professional license number?
What is Luis A Destarac ’s NPI number?
Does Luis A Destarac have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | K0712 | TX |
| N | 207KA0200X | Allergist | K0712 | TX |
| N | 207RC0200X | Critical Care Medicine | K0712 | TX |
| Y | 207RP1001X | Pulmonary Disease | K0712 | TX |
National Provider Identifier
| NPI | 1477513927 |
|---|---|
| Provider Name | Luis A Destarac |
| First Address | Tyler, TX 75701-2018 |
| Second Address | Tyler, TX 75701-2018 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2006 |
| Last Update Date | 21/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G31976 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.