Provider Demographics
NPI:1346377660
Name:AZLE ISD
Entity Type:Organization
Organization Name:AZLE ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GATEWOOD-HALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-444-2851
Mailing Address - Street 1:483 SANDY BEACH RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:AZLE
Mailing Address - State:TX
Mailing Address - Zip Code:76020-4437
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:483 SANDY BEACH RD
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-4437
Practice Address - Country:US
Practice Address - Phone:817-444-2851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)