Provider Demographics
NPI:1003957861
Name:SEYMOUR I.S.D
Entity Type:Organization
Organization Name:SEYMOUR I.S.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:G.
Authorized Official - Middle Name:GEAN
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-564-5614
Mailing Address - Street 1:121 N. GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:TX
Mailing Address - Zip Code:76374-1832
Mailing Address - Country:US
Mailing Address - Phone:940-564-5614
Mailing Address - Fax:940-564-2287
Practice Address - Street 1:409 W. IDAHO
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TX
Practice Address - Zip Code:76380-1650
Practice Address - Country:US
Practice Address - Phone:940-889-3525
Practice Address - Fax:940-889-5340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX064341302Medicaid