Provider Demographics
NPI:1548598493
Name:MOORE, ERIN SHEIGH (LSA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:SHEIGH
Last Name:MOORE
Suffix:
Gender:F
Credentials:LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 THOROUGHBRED ST
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-7543
Mailing Address - Country:US
Mailing Address - Phone:806-317-2504
Mailing Address - Fax:
Practice Address - Street 1:216 THOROUGHBRED ST
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-7543
Practice Address - Country:US
Practice Address - Phone:817-526-1379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant