MEDICARE: BOYD 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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760790455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOYD ISD

Provider Business Mailing Address
First Line	:	500 KNOX AVE
Second Line	:
City	:	BOYD
State	:	TX
Zip	:	76023-3214
Country	:	US
Telephone Number	:	940-683-8361
Fax Number	:	940-683-5849

Provider Business Practice Location Address
First Line	:	500 KNOX AVE
Second Line	:
City	:	BOYD
State	:	TX
Zip	:	76023-3214
Country	:	US
Telephone Number	:	940-683-8361
Fax Number	:	940-683-5849

Authorized Official
Title or Position	:	ASSISTANT SUPERINTENDENT
Name	:	MR. TED WEST
Credential	:
Telephone Number	:	940-683-8361

Provider Enumeration Date	:	09/16/2010
Last Update Date	:	09/16/2010

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Directions to “BOYD ISD ” Practice Location

Language	Start Address	Practice Location

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