=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811059645
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MCKINNEY INDEPENDENT SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 510 HEARD ST
-----------------------------------------------------
City | MCKINNEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75069-2749
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-742-6300
-----------------------------------------------------
Fax | 469-742-6301
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 DUVALL ST
-----------------------------------------------------
City | MCKINNEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75069-3210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-742-4131
-----------------------------------------------------
Fax | 469-742-4071
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DISTRICT CHIEF FINANCIAL OFFICER
-----------------------------------------------------
Name | STEVE FORTENBERRY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 469-742-4131
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------