Healthcare Provider Details

I. General information

NPI: 1356563597
Provider Name (Legal Business Name): MARION ISD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W OTTO ST
MARION TX
78124
US

IV. Provider business mailing address

PO BOX 189
MARION TX
78124-0189
US

V. Phone/Fax

Practice location:
  • Phone: 830-914-2803
  • Fax:
Mailing address:
  • Phone: 830-914-2803
  • 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: BARBARA BLACKMAN
Title or Position: DIRECTOR
Credential:
Phone: 830-914-2803