MEDICARE: ALDINE 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	:	1548483795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALDINE ISD

Provider Business Mailing Address
First Line	:	14910 ALDINE WESTFIELD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77032-3028
Country	:	US
Telephone Number	:	281-985-6222
Fax Number	:	281-985-7273

Provider Business Practice Location Address
First Line	:	14910 ALDINE WESTFIELD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77032-3028
Country	:	US
Telephone Number	:	281-985-6222
Fax Number	:	281-985-7273

Authorized Official
Title or Position	:	SUPERINTENDENT OF FINANCE
Name	:	MR. KEITH CLARK
Credential	:	ED.D.
Telephone Number	:	281-985-6227

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	08/22/2020

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