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NPI Code Detail

MEDICARE: SIERRA BLANCA INDEPENDENT SCHOOL DISTRICT

MEDICARE: SIERRA BLANCA 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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1679949275
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIERRA BLANCA INDEPENDENT SCHOOL DISTRICT
Provider Business Mailing Address
First Line : PO BOX 308
Second Line :
City : SIERRA BLANCA
State : TX
Zip : 79851-0308
Country : US
Telephone Number : 915-369-2781
Fax Number : 915-369-2605
Provider Business Practice Location Address
First Line : 500 SIERRA BLANCA DR.
Second Line :
City : SIERRA BLANCA
State : TX
Zip : 79851-0308
Country : US
Telephone Number : 915-369-2781
Fax Number : 915-369-2605
Authorized Official
Title or Position : SUPERINTENDENT
Name : MRS. EVELYN BRAMBLETT LOEFFLER
Credential :
Telephone Number : 915-369-2781
Provider Enumeration Date : 08/18/2015
Last Update Date : 08/18/2015

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Directions to “SIERRA BLANCA INDEPENDENT SCHOOL DISTRICT ” Practice Location

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