Provider Demographics
NPI:1275900052
Name:NEWMAN INTERNATIONAL ACADEMY OF ARLINGTON
Entity Type:Organization
Organization Name:NEWMAN INTERNATIONAL ACADEMY OF ARLINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STUDENT SUPPORT DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:817-459-8555
Mailing Address - Street 1:2011 S FIELDER RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6255
Mailing Address - Country:US
Mailing Address - Phone:817-459-8555
Mailing Address - Fax:817-394-6155
Practice Address - Street 1:2011 S FIELDER RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6255
Practice Address - Country:US
Practice Address - Phone:817-459-8555
Practice Address - Fax:817-394-6155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193400000XMedicaid