Provider Demographics
NPI:1659412203
Name:MIDLAND INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MIDLAND INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:PH D ED
Authorized Official - Phone:432-689-1000
Mailing Address - Street 1:615 W MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-5017
Mailing Address - Country:US
Mailing Address - Phone:432-689-1000
Mailing Address - Fax:432-689-1044
Practice Address - Street 1:615 W MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-5017
Practice Address - Country:US
Practice Address - Phone:432-689-1000
Practice Address - Fax:432-689-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0658429-01Medicaid