MEDICARE: COUPLAND ISD

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	:	1235266453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUPLAND ISD

Provider Business Mailing Address
First Line	:	2500 NORTH DR
Second Line	:
City	:	TAYLOR
State	:	TX
Zip	:	76574-5004
Country	:	US
Telephone Number	:	512-365-9398
Fax Number	:	512-365-8041

Provider Business Practice Location Address
First Line	:	2500 NORTH DR
Second Line	:
City	:	TAYLOR
State	:	TX
Zip	:	76574-5004
Country	:	US
Telephone Number	:	512-365-9398
Fax Number	:	512-365-8041

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL EDUCATION
Name	:	MR. DALE LEWIS
Credential	:
Telephone Number	:	512-365-9398

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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Directions to “COUPLAND ISD ” Practice Location

Language	Start Address	Practice Location

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