Individual
ERIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 BABCOCK RD STE 304, SAN ANTONIO, TX 78229-4428
(210) 731-9570
Mailing address
2441 W MULBERRY AVE, SAN ANTONIO, TX 78228-5150
(210) 550-5057
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338730
TX
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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