Healthcare Provider Details

I. General information

NPI: 1376768119
Provider Name (Legal Business Name): YSLETA ISD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 SIMS DR
EL PASO TX
79925-7200
US

IV. Provider business mailing address

9600 SIMS DR
EL PASO TX
79925-7200
US

V. Phone/Fax

Practice location:
  • Phone: 915-434-0900
  • Fax: 915-435-9570
Mailing address:
  • Phone: 915-435-9570
  • 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: MRS. SANDRA MEDINA
Title or Position: SPECIAL EDUCATION COORDINATOR
Credential: MA CCC
Phone: 915-434-0927