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NPI Code Detail

MEDICARE: ACCELERATED INTERMEDIATE ACADEMY

MEDICARE: ACCELERATED INTERMEDIATE ACADEMY
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 : 1629104880
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCELERATED INTERMEDIATE ACADEMY
Provider Business Mailing Address
First Line : PO BOX 20589
Second Line :
City : HOUSTON
State : TX
Zip : 77225-0589
Country : US
Telephone Number : 713-667-1184
Fax Number :
Provider Business Practice Location Address
First Line : 14035 MAIN ST
Second Line : SUITE D
City : HOUSTON
State : TX
Zip : 77035-5455
Country : US
Telephone Number : 713-667-1184
Fax Number :
Authorized Official
Title or Position : FINANCIAL OFFICER
Name : DERRICK GILMORE
Credential :
Telephone Number : 713-667-1184
Provider Enumeration Date : 02/24/2007
Last Update Date : 08/22/2020

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Directions to “ACCELERATED INTERMEDIATE ACADEMY ” Practice Location

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