MEDICARE: LYFORD CISD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1194847715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYFORD CISD

Provider Business Mailing Address
First Line	:	P.O. DRAWER 220
Second Line	:
City	:	LYFORD
State	:	TX
Zip	:	78569
Country	:	US
Telephone Number	:	956-347-3901
Fax Number	:

Provider Business Practice Location Address
First Line	:	8218 SIMON GOMEZ BLVD
Second Line	:
City	:	LYFORD
State	:	TX
Zip	:	78569
Country	:	US
Telephone Number	:	956-347-3901
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MELINDA CHAPA
Credential	:
Telephone Number	:	956-347-3901

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	08/22/2020

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Directions to “LYFORD CISD ” Practice Location

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