Healthcare Provider Details

I. General information

NPI: 1316163272
Provider Name (Legal Business Name): SLATON INDEPENDENT SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 W LUBBOCK ST
SLATON TX
79364-3830
US

IV. Provider business mailing address

140 E PANHANDLE ST
SLATON TX
79364-4238
US

V. Phone/Fax

Practice location:
  • Phone: 806-828-5805
  • Fax: 806-828-2046
Mailing address:
  • Phone: 806-828-6595
  • Fax: 806-828-2099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. GLORIA SUE MOORE
Title or Position: SPECIAL EDUCATION DIRECTOR
Credential:
Phone: 806-828-6595