Provider Demographics
NPI:1043419377
Name:CONNALLY ISD
Entity Type:Organization
Organization Name:CONNALLY ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-296-6465
Mailing Address - Street 1:200 CADET WAY
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76705-1100
Mailing Address - Country:US
Mailing Address - Phone:254-296-6465
Mailing Address - Fax:254-412-5530
Practice Address - Street 1:200 CADET WAY
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76705-1100
Practice Address - Country:US
Practice Address - Phone:254-296-6465
Practice Address - Fax:254-412-5530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)