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Contact Information

PETER HERTZAK, M.D., PMC
985 ROBERT BLVD.
SUITE 105
SLIDELL, LA70458
 Phone: 985-641-6300
 Fax: 985-646-1409
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PETER HERTZAK, M.D., PMC

NPI Number 1821156175
LBN Legal business name PETER HERTZAK, M.D., PMC
Authorized official KAREN MOTES - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
LA License # 05273R
LA Medicaid 1311308
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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