Healthcare Provider Details

I. General information

NPI: 1982661997
Provider Name (Legal Business Name): HENRY A PRETUS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 HOUMA BLVD SUITE 303
METAIRIE LA
70006-2925
US

IV. Provider business mailing address

4315 HOUMA BLVD STE 304
METAIRIE LA
70006-2944
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 Number10849R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: