Provider Demographics
NPI:1710161765
Name:PROGRESO ISD
Entity Type:Organization
Organization Name:PROGRESO ISD
Other - Org Name:SPECIAL EDUCATION DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-565-6203
Mailing Address - Street 1:PO BOX 610
Mailing Address - Street 2:
Mailing Address - City:PROGRESO
Mailing Address - State:TX
Mailing Address - Zip Code:78579-0610
Mailing Address - Country:US
Mailing Address - Phone:956-565-6203
Mailing Address - Fax:
Practice Address - Street 1:FARM ROAD 1015
Practice Address - Street 2:
Practice Address - City:PROGRESO
Practice Address - State:TX
Practice Address - Zip Code:78579-0610
Practice Address - Country:US
Practice Address - Phone:956-565-6203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)