Provider Demographics
NPI:1700048980
Name:CASSIERE, ERIN KATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:KATHERINE
Last Name:CASSIERE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 HOMER RD
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-2834
Mailing Address - Country:US
Mailing Address - Phone:318-377-4625
Mailing Address - Fax:318-377-8837
Practice Address - Street 1:7941 YOUREE DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-5538
Practice Address - Country:US
Practice Address - Phone:318-797-7941
Practice Address - Fax:318-797-7991
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA300118207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
U000076848Medicare UPIN