MEDICARE: HARLANDALE INDEPENDENT SCHOOL DISTRICT

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316005648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARLANDALE INDEPENDENT SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	102 GENEVIEVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78214-2997
Country	:	US
Telephone Number	:	210-921-4336
Fax Number	:	210-927-8453

Provider Business Practice Location Address
First Line	:	102 GENEVIEVE DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78214-2902
Country	:	US
Telephone Number	:	210-921-4336
Fax Number	:	210-927-8453

Authorized Official
Title or Position	:	ASSISTANT SUPERINTENDENT FOR FIN.
Name	:	MR. RICARDO HERNANDEZ
Credential	:
Telephone Number	:	210-921-4336

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	06/18/2008

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