Provider Demographics
NPI:1821115130
Name:PEWITT ISD
Entity Type:Organization
Organization Name:PEWITT ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-884-2804
Mailing Address - Street 1:PO BOX 1106
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:TX
Mailing Address - Zip Code:75571-1106
Mailing Address - Country:US
Mailing Address - Phone:903-884-2804
Mailing Address - Fax:903-884-2866
Practice Address - Street 1:1330 US HWY 67 WEST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:TX
Practice Address - Zip Code:75571
Practice Address - Country:US
Practice Address - Phone:903-884-2804
Practice Address - Fax:903-884-2866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)