Provider Demographics
NPI:1760672505
Name:TRINITY ISD
Entity Type:Organization
Organization Name:TRINITY ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MADELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-594-3569
Mailing Address - Street 1:PO BOX 752
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:TX
Mailing Address - Zip Code:75862-0752
Mailing Address - Country:US
Mailing Address - Phone:936-594-3569
Mailing Address - Fax:
Practice Address - Street 1:101 WEST JEFFERSON
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:TX
Practice Address - Zip Code:75862-0000
Practice Address - Country:US
Practice Address - Phone:936-594-3569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)