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Individual

DR. SERGE LARTCHENKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2821 E PRESIDENT GEORGE BUSH HWY, SUITE 500, RICHARDSON, TX 75082-4266
(469) 206-6957
(469) 206-6953
Mailing address
2821 E PRESIDENT GEORGE BUSH HWY, SUITE 500, RICHARDSON, TX 75082-4266
(469) 206-6957
(469) 206-6953

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
M8115
TX
207RI0200X
Infectious Disease Physician
026361
LA
207RI0200X
Infectious Disease Physician
Primary
M8115
TX

Other

Enumeration date
11/15/2005
Last updated
04/14/2020
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