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NPI Code Detail

MEDICARE: HOUSTON R-I

MEDICARE: HOUSTON R-I
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 : 1871635797
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON R-I
Provider Business Mailing Address
First Line : 423 W PINE ST
Second Line :
City : HOUSTON
State : MO
Zip : 65483-1147
Country : US
Telephone Number : 417-967-3024
Fax Number : 417-967-4479
Provider Business Practice Location Address
First Line : 423 W PINE ST
Second Line :
City : HOUSTON
State : MO
Zip : 65483-1147
Country : US
Telephone Number : 417-967-3024
Fax Number : 417-967-4479
Authorized Official
Title or Position : SUPERINTENDENT
Name : MR. CLINTON WATERS
Credential :
Telephone Number : 417-967-3024
Provider Enumeration Date : 02/14/2007
Last Update Date : 08/22/2020

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1144359365 — MRS. MARY L GLOVER
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1023298890 — MR. PAUL MORRIS
Practice Location Address:
423 W PINE ST
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1174810220 — KIMBERLY DAWN FREEMAN
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1487101291 — TYANN NETTLETON M.S SLP-CCC
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Directions to “HOUSTON R-I ” Practice Location

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