Provider Demographics
NPI:1083815534
Name:MATHIS I.S.D.
Entity Type:Organization
Organization Name:MATHIS I.S.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM. FOR BUS. SVCE. & OPER.
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-547-3378
Mailing Address - Street 1:PO BOX 1179
Mailing Address - Street 2:602 E. SAN PATRICIO
Mailing Address - City:MATHIS
Mailing Address - State:TX
Mailing Address - Zip Code:78368-1179
Mailing Address - Country:US
Mailing Address - Phone:361-547-3378
Mailing Address - Fax:361-547-9474
Practice Address - Street 1:602 E. SAN PATRICIO AVENUE
Practice Address - Street 2:
Practice Address - City:MATHIS
Practice Address - State:TX
Practice Address - Zip Code:78368-1179
Practice Address - Country:US
Practice Address - Phone:361-547-3378
Practice Address - Fax:361-547-9474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)