Provider Demographics
NPI:1578685061
Name:SOUTH SAN ANTONIO I.S.D.
Entity Type:Organization
Organization Name:SOUTH SAN ANTONIO I.S.D.
Other - Org Name:SPECIAL EDUCATION DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TREVINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-977-7250
Mailing Address - Street 1:2415 W SOUTHCROSS BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78211-1868
Mailing Address - Country:US
Mailing Address - Phone:210-977-7250
Mailing Address - Fax:210-977-7254
Practice Address - Street 1:2415 W SOUTHCROSS BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-1868
Practice Address - Country:US
Practice Address - Phone:210-977-7250
Practice Address - Fax:210-977-7254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)