Luis A Destarac is a Allergy in Tyler, Texas. Luis A Destarac practices all healthcare services and medical treatments related to Allergy. 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 | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | K0712 |
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Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
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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 Allergy, and the taxonomy classification code that categorizes this area of expertise is 207Ka0200X.
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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