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NPI Code Detail

MEDICARE: EVANT ISD

MEDICARE: EVANT 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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1497876395
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVANT ISD
Provider Business Mailing Address
First Line : PO BOX 339
Second Line :
City : EVANT
State : TX
Zip : 76525-0339
Country : US
Telephone Number : 254-471-5536
Fax Number :
Provider Business Practice Location Address
First Line : 339 MEMORY LANE
Second Line :
City : EVANT
State : TX
Zip : 76525-0339
Country : US
Telephone Number : 254-471-5536
Fax Number :
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MR. KEN ALEXANDER
Credential :
Telephone Number : 254-471-5536
Provider Enumeration Date : 04/02/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

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1730331166 — MAUNEY & ASSOCIATES, LLC
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Directions to “EVANT ISD ” Practice Location

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