Provider Demographics
NPI:1659544690
Name:NORTH FOREST ISD
Entity Type:Organization
Organization Name:NORTH FOREST ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PORSHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-636-4320
Mailing Address - Street 1:6010 LITTLE YORK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-2544
Mailing Address - Country:US
Mailing Address - Phone:713-636-4320
Mailing Address - Fax:713-635-6254
Practice Address - Street 1:6010 LITTLE YORK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-2544
Practice Address - Country:US
Practice Address - Phone:713-636-4320
Practice Address - Fax:713-635-6254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)