Provider Demographics
NPI:1629104880
Name:ACCELERATED INTERMEDIATE ACADEMY
Entity Type:Organization
Organization Name:ACCELERATED INTERMEDIATE ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-667-1184
Mailing Address - Street 1:PO BOX 20589
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0589
Mailing Address - Country:US
Mailing Address - Phone:713-667-1184
Mailing Address - Fax:
Practice Address - Street 1:14035 MAIN ST
Practice Address - Street 2:SUITE D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-5455
Practice Address - Country:US
Practice Address - Phone:713-667-1184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)