Healthcare Provider Details

I. General information

NPI: 1184967739
Provider Name (Legal Business Name): WINONA ISD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2013
Last Update Date: 04/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 WILDCAT DR
WINONA TX
75792-4963
US

IV. Provider business mailing address

611 WILDCAT DR
WINONA TX
75792-4963
US

V. Phone/Fax

Practice location:
  • Phone: 903-939-4001
  • Fax:
Mailing address:
  • Phone:
  • 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: DENISE SHETTER
Title or Position: SUPERINTENDENT
Credential:
Phone: 903-939-4001