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

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
Show map & directions

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

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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