Provider Demographics
NPI:1437684487
Name:PATTON SPRINGS ISD
Entity Type:Organization
Organization Name:PATTON SPRINGS ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-689-2220
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:TX
Mailing Address - Zip Code:79220-0032
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1261 E FM 193
Practice Address - Street 2:
Practice Address - City:AFRON
Practice Address - State:TX
Practice Address - Zip Code:79220-0032
Practice Address - Country:US
Practice Address - Phone:806-689-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid