# SERGE LARTCHENKO, MD, PA

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

## Provider details

- **NPI number:** 1841525508
- **Authorized official:** DR. SERGE LARTCHENKO MD (OWNER)
- **Authorized official phone:** (214) 300-1364

## Contact information

- **Practice address:** 2320 HUGO ST, \#1901, DALLAS, TX 75204-2801
- **Practice address phone:** (214) 300-1364
- **Mailing address:** 9603 WHITE ROCK TRAIL, SUITE 200, DALLAS, TX 75238-5039
- **Mailing address phone:** (972) 644-8577
- **Mailing address fax:** (972) 644-8056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2009
- **Last updated:** 10/13/2009