Provider Demographics
NPI:1558404293
Name:JEFFERSON ISD
Entity Type:Organization
Organization Name:JEFFERSON ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:903-665-2461
Mailing Address - Street 1:1600 MARTIN LUTHER KING DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75657-1061
Mailing Address - Country:US
Mailing Address - Phone:903-665-2461
Mailing Address - Fax:903-665-7367
Practice Address - Street 1:1600 MARTIN LUTHER KING DR
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:TX
Practice Address - Zip Code:75657-1061
Practice Address - Country:US
Practice Address - Phone:903-665-2461
Practice Address - Fax:903-665-7367
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)