Luis A Destarac in Tyler - Pulmonary Disease
Luis A Destarac - NPI 1477513927
Luis A Destarac is a Pulmonary Disease in Tyler, Texas. Luis A Destarac practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Luis A Destarac is 1477513927. The last update date is 2019-11-21.
Luis A Destarac's current location address is 912 S Fleishel Ave, Tyler, Texas. You can contact this provider via phone number 9035926901 and fax number 9035952571. The mailing address for Luis A Destarac is 912 S Fleishel Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luis A Destarac |
|---|---|
| Address | 912 S Fleishel Ave, Tyler, Texas |
| Phone Number | 9035926901 |
| Fax Number | 9035952571 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477513927 |
|---|---|
| Provider Enumeration Date | 2006-03-27 |
| Last Updated Date | 2019-11-21 |
Provider Mailing Address Detail
| Address | 912 S Fleishel Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757012018 |
| Phone Number | 9035926901 |
| Fax Number | 9035952571 |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | K0712 |
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Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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What is the unique 10-digit identification code issued to Luis A Destarac by the Centers for Medicare & Medicaid Services?
The Luis A Destarac has been assigned the NPI (National Provider Identifier) 1477513927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Luis A Destarac's physical address?
The Luis A Destarac is physically located at 912 S Fleishel Ave, in the city of Tyler, TX, with the postal code 757012018.
What is Luis A Destarac's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Luis A Destarac is Pulmonary Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rp1001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477513927 to Luis A Destarac?
The Centers for Medicare & Medicaid Services assigned the 1477513927 to Luis A Destarac on 2006-03-27.
As of what date were the Luis A Destarac's details last updated?
The information pertaining to the Luis A Destarac, including its address, specialty, and other details, was most recently updated on 2019-11-21.
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