MEDICARE: GRANGER ISD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1124155338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRANGER ISD

Provider Business Mailing Address
First Line	:	2500 NORTH DR
Second Line	:
City	:	TAYLOR
State	:	TX
Zip	:	76574-5004
Country	:	US
Telephone Number	:	512-365-9398
Fax Number	:	512-365-8041

Provider Business Practice Location Address
First Line	:	2500 NORTH DR
Second Line	:
City	:	TAYLOR
State	:	TX
Zip	:	76574-5004
Country	:	US
Telephone Number	:	512-365-9398
Fax Number	:	512-365-8041

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL EDUCATION
Name	:	MR. DALE LEWIS
Credential	:
Telephone Number	:	512-365-9398

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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Directions to “GRANGER ISD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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