Healthcare Provider Details

I. General information

NPI: 1205987013
Provider Name (Legal Business Name): IRENE PRECHTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 08/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 PRYTANIA ST SUITE 224
NEW ORLEANS LA
70115-3500
US

IV. Provider business mailing address

3600 PRYTANIA ST SUITE 35
NEW ORLEANS LA
70115-3628
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-7880
  • Fax: 504-897-7885
Mailing address:
  • Phone: 504-897-8315
  • Fax: 504-891-9862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number018410
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: