Provider Demographics
NPI:1194846006
Name:BURKEVILLE ISD
Entity Type:Organization
Organization Name:BURKEVILLE ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-565-2201
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:BURKEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75932-0218
Mailing Address - Country:US
Mailing Address - Phone:409-565-2201
Mailing Address - Fax:409-565-2012
Practice Address - Street 1:231 COUNTY ROAD 2099
Practice Address - Street 2:
Practice Address - City:BURKEVILLE
Practice Address - State:TX
Practice Address - Zip Code:75932-0218
Practice Address - Country:US
Practice Address - Phone:409-565-2201
Practice Address - Fax:409-565-2012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)