1851509459 NPI number — HART INDEPENDENT SCHOOL DISTRICT

Table of content: JOSE ADRIAN GOMEZ LVN (NPI 1669958104)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851509459 NPI number — HART INDEPENDENT SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HART INDEPENDENT SCHOOL DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851509459
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
608 W HALSELL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DIMMITT
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79027-1750
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-647-3103
Provider Business Mailing Address Fax Number:
806-647-5433

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
710 SECOND STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HART
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79043-0490
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-938-2143
Provider Business Practice Location Address Fax Number:
806-938-2610
Provider Enumeration Date:
05/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
COX
Authorized Official First Name:
WALTER
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
806-938-2413

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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