Healthcare Provider Details

I. General information

NPI: 1447391362
Provider Name (Legal Business Name): OLNEY ISD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 W. HAMILTON
OLNEY TX
76374-1723
US

IV. Provider business mailing address

121 N. GRAND AVE.
OLNEY TX
76374-1832
US

V. Phone/Fax

Practice location:
  • Phone: 940-564-3519
  • Fax: 940-564-5205
Mailing address:
  • Phone: 940-564-5614
  • Fax: 940-564-2287

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: G. GEAN CHRISTOPHER
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 940-564-5614