Individual
SERGE PIERRECHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 MEDICAL DR, LAKEWAY, TX 78734-4200
(512) 263-4500
Mailing address
4825 OLSON MEMORIAL HWY STE 101, GOLDEN VALLEY, MN 55422-5155
(763) 208-9545
(651) 927-8668
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
58656
MN
208100000X
Physical Medicine & Rehabilitation Physician
CV2201215
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
U0522
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
58656
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609167980
—
TX
Enumeration date
04/21/2011
Last updated
11/12/2025
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