Provider Demographics
NPI:1710046693
Name:AUSTIN INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:AUSTIN INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:THROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-414-2323
Mailing Address - Street 1:1111 W 6TH ST BLDG A380
Mailing Address - Street 2:MEDICAID DEPARTMENT
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-5338
Mailing Address - Country:US
Mailing Address - Phone:512-414-1700
Mailing Address - Fax:512-414-3996
Practice Address - Street 1:1111 W 6TH ST BLDG A380
Practice Address - Street 2:MEDICAID DEPARTMENT
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-5338
Practice Address - Country:US
Practice Address - Phone:512-414-0039
Practice Address - Fax:512-414-3996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)