Provider Demographics
NPI:1235279175
Name:MESQUITE INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MESQUITE INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-882-7701
Mailing Address - Street 1:714 EAST KIMBROUGH STREET
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-4420
Mailing Address - Country:US
Mailing Address - Phone:972-882-7701
Mailing Address - Fax:972-882-7721
Practice Address - Street 1:714 E KIMBROUGH ST
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-4420
Practice Address - Country:US
Practice Address - Phone:972-228-7700
Practice Address - Fax:972-882-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX057914163WS0200X, 376K00000X, 390200000X
TX251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)Group - Multi-Specialty
No163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty