Provider Demographics
NPI:1225157043
Name:CANYON ISD
Entity Type:Organization
Organization Name:CANYON ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:SPLAWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-677-2632
Mailing Address - Street 1:PO BOX 899
Mailing Address - Street 2:
Mailing Address - City:CANYON
Mailing Address - State:TX
Mailing Address - Zip Code:79015-0899
Mailing Address - Country:US
Mailing Address - Phone:806-677-2632
Mailing Address - Fax:
Practice Address - Street 1:508 16TH ST
Practice Address - Street 2:
Practice Address - City:CANYON
Practice Address - State:TX
Practice Address - Zip Code:79015-3843
Practice Address - Country:US
Practice Address - Phone:806-677-2632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)