Organization
PETER HERTZAK, M.D., PMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN R MOTES (OFFICE MANAGER)
(985) 690-8349
Entity
Organization
Contact information
Practice address
985 ROBERT BLVD., SUITE 105, SLIDELL, LA 70458
(985) 641-6300
(985) 646-1409
Mailing address
985 ROBERT BLVD., SUITE 105, SLIDELL, LA 70458
(985) 641-6300
(985) 646-1409
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
05273R
LA
208200000X
Plastic Surgery Physician
Primary
05273R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311308
—
LA
Enumeration date
12/05/2006
Last updated
09/11/2025
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