Provider Demographics
NPI:1497971402
Name:EAGLE ACADEMIES OF TEXAS
Entity Type:Organization
Organization Name:EAGLE ACADEMIES OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOOLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-316-3663
Mailing Address - Street 1:PO BOX 292730
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75029-2730
Mailing Address - Country:US
Mailing Address - Phone:972-316-3663
Mailing Address - Fax:972-315-9506
Practice Address - Street 1:997 GRANDYS LN
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-2507
Practice Address - Country:US
Practice Address - Phone:972-316-3663
Practice Address - Fax:972-315-9506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)