Healthcare Provider Details

I. General information

NPI: 1013820794
Provider Name (Legal Business Name): MOORE PRECISION HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
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: 337-316-0400
  • Fax: 337-901-5445
Mailing address:
  • Phone: 337-316-0400
  • Fax: 337-901-5445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK DEVINCENT MOORE
Title or Position: OWNER
Credential: MD, MBA
Phone: 337-316-0400