Healthcare Provider Details

I. General information

NPI: 1366659849
Provider Name (Legal Business Name): PM INVESTMENTS AND CONSULTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 ALCIDE DOMINIQUE DR
LAFAYETTE LA
70506-1052
US

IV. Provider business mailing address

307 ALCIDE DOMINIQUE DR
LAFAYETTE LA
70506-1052
US

V. Phone/Fax

Practice location:
  • Phone: 337-706-8986
  • Fax: 337-901-5445
Mailing address:
  • Phone: 337-706-8986
  • Fax: 337-901-5445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number024344
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK DEVINCENT MOORE
Title or Position: OWNER
Credential: M.D.
Phone: 337-316-0400