Destarac, Luis A

Destarac, Luis A is an individual health care provider with primary practice located at 912 S Fleishel Ave , Tyler TX 75701-2018. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Destarac, Luis A can be contacted via phone (903) 592-6901.

Contact Information

Primary practice address
912 S Fleishel Ave Tyler TX 75701-2018
Phone: (903) 592-6901
Fax: (903) 595-2571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X K0712 Texas
Allopathic & Osteopathic Physicians / Allergy 207KA0200X K0712 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X K0712 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X K0712 Texas

Profile Details

NPI number 1477513927
LBN Legal business name Destarac, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Nov 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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