Provider Demographics
NPI:1376957472
Name:INTERNATIONAL AMERICAN EDUCATION FEDERATION
Entity Type:Organization
Organization Name:INTERNATIONAL AMERICAN EDUCATION FEDERATION
Other - Org Name:INTERNATIONAL LEADERSHIP OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCREIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-200-6519
Mailing Address - Street 1:1506 W PIONEER PKWY
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6230
Mailing Address - Country:US
Mailing Address - Phone:817-200-6519
Mailing Address - Fax:817-200-6698
Practice Address - Street 1:3301 N SHILOH RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-8001
Practice Address - Country:US
Practice Address - Phone:817-200-6519
Practice Address - Fax:817-200-6698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX057-848Medicaid