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LUIS A DESTARAC M.D.

Individual Provider (NPI-1) Active

Internal Medicine, Pulmonary Disease

Provider Information

NPI Number
1477513927
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
912 S FLEISHEL AVE, TYLER, TX, 757012018
Phone
(903) 592-6901
Fax
(903) 595-2571

Specialties & Taxonomies

Allergy & Immunology License: TX #K0712
Allergy & Immunology, Allergy License: TX #K0712
Internal Medicine, Critical Care Medicine License: TX #K0712
Internal Medicine, Pulmonary Disease Primary License: TX #K0712

All Addresses

LOCATION

912 S FLEISHEL AVE

TYLER, TX, 757012018

(903) 592-6901

MAILING

912 S FLEISHEL AVE

TYLER, TX, 757012018

(903) 592-6901