Provider Demographics
NPI:1861680886
Name:CLYDE CONS ISD
Entity Type:Organization
Organization Name:CLYDE CONS ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GALE
Authorized Official - Middle Name:
Authorized Official - Last Name:HATERIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-893-4222
Mailing Address - Street 1:526 SHALIMAR
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:TX
Mailing Address - Zip Code:79510
Mailing Address - Country:US
Mailing Address - Phone:325-893-4222
Mailing Address - Fax:
Practice Address - Street 1:526 SHALIMAR
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:TX
Practice Address - Zip Code:79510
Practice Address - Country:US
Practice Address - Phone:325-893-4222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)