MEDICARE: BIG SPRING

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	:	1558402214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIG SPRING

Provider Business Mailing Address
First Line	:	708 E 11TH PL
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-4648
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 E 11TH PL
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-4648
Country	:	US
Telephone Number	:	432-264-4106
Fax Number	:	432-264-4128

Authorized Official
Title or Position	:	SPECIAL EDUCATION DIRECTOR
Name	:	MRS. VALERIE DYKSTRA
Credential	:
Telephone Number	:	432-264-4106

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

Similar Medicare Providers

1497189450 — MRS. RACHEL LEAH CLOW M.S., CCC-SLP
Practice Location Address:

708 E 11TH PL
BIG SPRING, TX
79720-4648

Practice Phone: 432-264-4106
Practice Fax:

1487604195 — MEDIC ONE CORPORATION
Practice Location Address:

2810 LOUETTA RD , #9
SPRING, TX
77388-4648

Practice Phone: 713-252-9311
Practice Fax: 281-288-7070

1700893732 — WALGREEN CO
Practice Location Address:

11180 SPRING HILL DR
SPRING HILL, FL
34609-4648

Practice Phone: 352-686-2235
Practice Fax:

1417036831 — MRS. MICHELE LEE FLUKE ARNP
Practice Location Address:

11180 SPRING HILL DR
SPRING HILL, FL
34609-4648

Practice Phone: 727-841-7643
Practice Fax:

1710048426 — OMAR SHUAYB
Practice Location Address:

11152 SPRING HILL DR
SPRING HILL, FL
34609-4648

Practice Phone: 352-688-2212
Practice Fax:

1851575419 — SHELLY LYNN GERLACH RN, MSN, FNP
Practice Location Address:

11180 SPRING HILL DR
SPRING HILL, FL
34609-4648

Practice Phone: 813-915-5459
Practice Fax:

Directions to “BIG SPRING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.