OrganizationActive
Peter Hertzak M.D. Pmc
NPI 1205075256 · Medical Specialty Clinic/Center · Slidell, LA
Provider details
- NPI number
- 1205075256
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Hertzak, Owner(985) 641-6300
- License
- 05273R (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
985 Robert Blvd Ste 102
Slidell, LA 70458-2063
Phone: (985) 641-6300
Fax: (985) 646-1409
Approximate (ZIP-level) locationGet directions
Mailing address
985 Robert Blvd Ste 102
Slidell, LA 70458-2063
Registry dates
- Enumerated
- 2009-02-16
- Last updated
- 2009-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.