Provider Demographics
NPI:1629590682
Name:NORTH ZULCH INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NORTH ZULCH INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-241-7100
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:NORTH ZULCH
Mailing Address - State:TX
Mailing Address - Zip Code:77872-0158
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11390 5TH ST
Practice Address - Street 2:
Practice Address - City:NORTH ZULCH
Practice Address - State:TX
Practice Address - Zip Code:77872-6614
Practice Address - Country:US
Practice Address - Phone:936-241-7100
Practice Address - Fax:936-241-7093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid