# SERGE LARTCHENKO M.D., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508199621
- **Authorized official:** DR. SERGE LARTCHENKO M.D. (MEMBER)
- **Authorized official phone:** (214) 300-1364

## Contact information

- **Practice address:** 2320 HUGO ST, \#1901, DALLAS, TX 75204-2801
- **Practice address phone:** (214) 300-1364
- **Practice address fax:** (214) 295-6866
- **Mailing address:** 2320 HUGO ST, \#1901, DALLAS, TX 75204-2801
- **Mailing address phone:** (214) 300-1364
- **Mailing address fax:** (214) 295-6866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | M8115 | TX | Yes |

## Other

- **Enumeration date:** 09/08/2009
- **Last updated:** 09/08/2009