Provider Demographics
NPI:1801189238
Name:VALENTINE ISD
Entity Type:Organization
Organization Name:VALENTINE ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:WATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-837-3315
Mailing Address - Street 1:PO BOX 171
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:TX
Mailing Address - Zip Code:79831-0171
Mailing Address - Country:US
Mailing Address - Phone:432-837-3315
Mailing Address - Fax:432-837-3573
Practice Address - Street 1:704 W SUL ROSS AVE
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:TX
Practice Address - Zip Code:79830-4428
Practice Address - Country:US
Practice Address - Phone:432-837-3315
Practice Address - Fax:432-837-3573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX064702602Medicaid