Provider Demographics
NPI:1003034265
Name:CORPUS CHRISTI INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CORPUS CHRISTI INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-886-9168
Mailing Address - Street 1:801 LEOPARD ST
Mailing Address - Street 2:PO BOX 110
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78403-0110
Mailing Address - Country:US
Mailing Address - Phone:361-886-9168
Mailing Address - Fax:
Practice Address - Street 1:801 LEOPARD ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78403-0110
Practice Address - Country:US
Practice Address - Phone:361-886-9168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX065863501Medicaid