Healthcare Provider Details

I. General information

NPI: 1992922991
Provider Name (Legal Business Name): WASKOM INDEPENDENT SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 SCHOOL AVE.
WASKOM TX
75692-9505
US

IV. Provider business mailing address

P. O. BOX 748
WASKOM TX
75692-0748
US

V. Phone/Fax

Practice location:
  • Phone: 903-668-5990
  • Fax: 903-668-5990
Mailing address:
  • Phone: 903-668-5990
  • Fax: 903-668-5990

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. JUDY HATFIELD
Title or Position: SEMS CLERK
Credential:
Phone: 903-668-5990