MEDICARE: LIVINGSTON 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)		TX

General Provider Information

NPI Number	:	1245374552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVINGSTON ISD

Provider Business Mailing Address
First Line	:	PO BOX 1297
Second Line	:
City	:	LIVINGSTON
State	:	TX
Zip	:	77351-0023
Country	:	US
Telephone Number	:	936-328-2207
Fax Number	:	936-328-2209

Provider Business Practice Location Address
First Line	:	1412 S HOUSTON ST
Second Line	:	(HWY 146)
City	:	LIVINGSTON
State	:	TX
Zip	:	77351-4212
Country	:	US
Telephone Number	:	936-328-2207
Fax Number	:	936-328-2209

Authorized Official
Title or Position	:	ASST. SUPT. OF BUSINESS
Name	:	DENICE BIENSKI
Credential	:
Telephone Number	:	936-328-2207

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	08/22/2020

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Directions to “LIVINGSTON ISD ” Practice Location

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