OrganizationActive
Physical Medicine Center
NPI 1396742953 · Multi-Specialty Clinic/Center · Lafayette, LA
Provider details
- NPI number
- 1396742953
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Derek David, Owner(337) 233-5230
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
401 N College Rd
Ste 3&4
Lafayette, LA 70506-4263
Phone: (337) 233-5230
Fax: (337) 233-5270
Approximate (ZIP-level) locationGet directions
Mailing address
401 N College Rd
Lafayette, LA 70506-4263
Registry dates
- Enumerated
- 2005-06-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.