Provider Demographics
NPI:1225289028
Name:TEXARKANA ARKANSAS SCHOOL DISTRICT
Entity Type:Organization
Organization Name:TEXARKANA ARKANSAS SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/MEDICAID BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-772-9815
Mailing Address - Street 1:3435 JEFFERSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854
Mailing Address - Country:US
Mailing Address - Phone:870-772-3371
Mailing Address - Fax:870-773-2602
Practice Address - Street 1:3435 JEFFERSON AVENUE
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854
Practice Address - Country:US
Practice Address - Phone:870-772-3371
Practice Address - Fax:870-773-2602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)