Provider Demographics
NPI:1760829675
Name:BUCKHOLTS ISD
Entity Type:Organization
Organization Name:BUCKHOLTS ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIRK
Authorized Official - Middle Name:D
Authorized Official - Last Name:DYKSTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-593-3011
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:BUCKHOLTS
Mailing Address - State:TX
Mailing Address - Zip Code:76518-0248
Mailing Address - Country:US
Mailing Address - Phone:254-593-3011
Mailing Address - Fax:254-593-2270
Practice Address - Street 1:203 S 10TH ST
Practice Address - Street 2:
Practice Address - City:BUCKHOLTS
Practice Address - State:TX
Practice Address - Zip Code:76518-2882
Practice Address - Country:US
Practice Address - Phone:254-593-3011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX166907251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)