Provider Demographics
NPI:1447393376
Name:COLLEGE STATION ISD
Entity Type:Organization
Organization Name:COLLEGE STATION ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-764-5409
Mailing Address - Street 1:1812 WELSH AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-4800
Mailing Address - Country:US
Mailing Address - Phone:979-764-5433
Mailing Address - Fax:979-764-5489
Practice Address - Street 1:1812 WELSH AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77840-4800
Practice Address - Country:US
Practice Address - Phone:979-764-5433
Practice Address - Fax:979-764-5489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)