Provider Demographics
NPI:1366659849
Name:PM INVESTMENTS AND CONSULTING, INC.
Entity Type:Organization
Organization Name:PM INVESTMENTS AND CONSULTING, INC.
Other - Org Name:MOORE HEALTHCARE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:DEVINCENT
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-316-0400
Mailing Address - Street 1:307 ALCIDE DOMINIQUE DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-1052
Mailing Address - Country:US
Mailing Address - Phone:337-706-8986
Mailing Address - Fax:337-901-5445
Practice Address - Street 1:307 ALCIDE DOMINIQUE DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-1052
Practice Address - Country:US
Practice Address - Phone:337-706-8986
Practice Address - Fax:337-901-5445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA024344207Q00000X
261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAH15644Medicare UPIN