=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083842330
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OVERTON ISD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2009
-----------------------------------------------------
Last Update Date | 06/25/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 501 E HENDERSON ST
-----------------------------------------------------
City | OVERTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75684-1313
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-834-6145
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 130
-----------------------------------------------------
City | OVERTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75684-0130
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-834-6145
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT
-----------------------------------------------------
Name | MR. ALAN UMHOLTZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 903-834-6145
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------