Provider Demographics
NPI:1134518095
Name:GARLAND INDEPENDENT SCOOL DISTRICT
Entity Type:Organization
Organization Name:GARLAND INDEPENDENT SCOOL DISTRICT
Other - Org Name:GISD EMPLOYEE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:RACHAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-487-4567
Mailing Address - Street 1:3121 N PRESIDENT GEORGE BUSH HWY
Mailing Address - Street 2:SUITE B3
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2752
Mailing Address - Country:US
Mailing Address - Phone:972-487-4567
Mailing Address - Fax:972-487-4881
Practice Address - Street 1:501 S JUPITER RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-7108
Practice Address - Country:US
Practice Address - Phone:972-487-3041
Practice Address - Fax:972-485-4918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center