Healthcare Provider Details

I. General information

NPI: 1497720379
Provider Name (Legal Business Name): HENRY A. PRETUS, M.D., PHD, APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 04/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 HOUMA BLVD SUITE 303
METAIRIE LA
70006-2932
US

IV. Provider business mailing address

1937 VETERANS MEMORIAL BLVD # 306
METAIRIE LA
70005-2656
US

V. Phone/Fax

Practice location:
  • Phone: 504-207-2222
  • Fax:
Mailing address:
  • Phone: 504-207-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: HENRY A PRETUS
Title or Position: OWNER
Credential: M.D.
Phone: 504-207-2222