Provider Demographics
NPI:1033250485
Name:DEER PARK INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DEER PARK INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:832-668-7035
Mailing Address - Street 1:203 IVY AVE
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-2747
Mailing Address - Country:US
Mailing Address - Phone:832-668-7035
Mailing Address - Fax:281-930-1945
Practice Address - Street 1:203 IVY AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-2747
Practice Address - Country:US
Practice Address - Phone:832-668-7035
Practice Address - Fax:281-930-1945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0657231-01Medicaid