Healthcare Provider Details

I. General information

NPI: 1295856094
Provider Name (Legal Business Name): CRANDALL INDEPENDENT SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13385 FM 3039
CRANDALL TX
75114
US

IV. Provider business mailing address

PO BOX 128
CRANDALL TX
75114-0128
US

V. Phone/Fax

Practice location:
  • Phone: 972-427-8180
  • Fax:
Mailing address:
  • Phone: 972-427-8180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: LAURA MARSH
Title or Position: DIRECTOR
Credential:
Phone: 972-427-8180