Provider Demographics
NPI:1275996902
Name:HAWLEY INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:HAWLEY INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WYATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-773-3637
Mailing Address - Street 1:PO BOX 440
Mailing Address - Street 2:
Mailing Address - City:HAWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:79525-0440
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:210 AVE E
Practice Address - Street 2:
Practice Address - City:HAWLEY
Practice Address - State:TX
Practice Address - Zip Code:79525-0059
Practice Address - Country:US
Practice Address - Phone:325-537-2214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid