Provider Demographics
NPI:1609919653
Name:EUSTACE I.S.D.
Entity Type:Organization
Organization Name:EUSTACE I.S.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:DR
Authorized Official - First Name:MACK
Authorized Official - Middle Name:
Authorized Official - Last Name:SAXON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:903-677-7373
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:EUSTACE
Mailing Address - State:TX
Mailing Address - Zip Code:75124-0188
Mailing Address - Country:US
Mailing Address - Phone:903-425-5151
Mailing Address - Fax:
Practice Address - Street 1:320 HWY 16 S.
Practice Address - Street 2:
Practice Address - City:EUSTACE
Practice Address - State:TX
Practice Address - Zip Code:75124
Practice Address - Country:US
Practice Address - Phone:903-425-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)