LUIS A DESTARAC

TYLER, TX
NPI1477513927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: TX  K0712)
Additional Taxonomies207K00000X Allergy & Immunology
(Licence: TX  K0712)
207KA0200X Allergy & Immunology, Allergy
(Licence: TX  K0712)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: TX  K0712)
Enumeration Date2006-03-27
Last Update Date2019-11-21
Business Address
LUIS A DESTARAC M.D.
912 S FLEISHEL AVE
TYLER, TX 75701-2018
Phone number: 903-592-6901
Mailing Address
LUIS A DESTARAC M.D.
912 S FLEISHEL AVE
TYLER, TX 75701-2018
Phone number: 903-592-6901