Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Luis A Destarac, MD

Individual provider Allergy & Immunology Physician · NPI 1477513927

Luis A Destarac, MD is a Pulmonary Disease in Tyler, Texas. Qualified in 1991, 35 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
35
Licensed in
TX
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

912 S Fleishel Ave
Tyler, TX 75701-2018
Phone: (903) 592-6901
Fax: (903) 595-2571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence K0712 (TX)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence K0712 (TX)
Allergy Physician Taxonomy 207KA0200X · Licence K0712 (TX)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence K0712 (TX)

Record details

NPI number1477513927
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2006
Last updated in NPPESNovember 21, 2019
Mailing address912 S Fleishel Ave, Tyler, TX 75701-2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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