Provider Demographics
NPI:1609917541
Name:CYPRESS FAIRBANKS INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CYPRESS FAIRBANKS INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT FOR EDUCAT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FIDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-897-6416
Mailing Address - Street 1:10300 JONES RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4208
Mailing Address - Country:US
Mailing Address - Phone:281-897-6416
Mailing Address - Fax:281-897-6403
Practice Address - Street 1:10300 JONES RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4208
Practice Address - Country:US
Practice Address - Phone:281-897-6416
Practice Address - Fax:281-897-6403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX065722301Medicaid