Provider Demographics
NPI:1679823728
Name:FORT DAVIS INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:FORT DAVIS INDEPENDENT SCHOOL DISTRICT
Other - Org Name:FORT DAVIS ISD
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MALINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-426-4440
Mailing Address - Street 1:PO BOX 1339
Mailing Address - Street 2:
Mailing Address - City:FORT DAVIS
Mailing Address - State:TX
Mailing Address - Zip Code:79734-0015
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 WEBSTER
Practice Address - Street 2:
Practice Address - City:FORT DAVIS
Practice Address - State:TX
Practice Address - Zip Code:79734
Practice Address - Country:US
Practice Address - Phone:432-426-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)