MEDICARE: SAN DIEGO 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)

General Provider Information

NPI Number	:	1376688408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN DIEGO INDEPENDENT SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	609 W LABBE ST
Second Line	:
City	:	SAN DIEGO
State	:	TX
Zip	:	78384-3420
Country	:	US
Telephone Number	:	361-279-3382
Fax Number	:	361-279-2267

Provider Business Practice Location Address
First Line	:	609 W LABBE ST
Second Line	:
City	:	SAN DIEGO
State	:	TX
Zip	:	78384-3420
Country	:	US
Telephone Number	:	361-279-3382
Fax Number	:	361-279-2267

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	MRS. ALMA IRIS CASAS
Credential	:
Telephone Number	:	361-279-3382

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/22/2020

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Directions to “SAN DIEGO INDEPENDENT SCHOOL DISTRICT ” Practice Location

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