Provider Demographics
NPI:1871028308
Name:SPRINGLAKE-EARTH ISD
Entity Type:Organization
Organization Name:SPRINGLAKE-EARTH ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:BRETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUTHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-385-3292
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:EARTH
Mailing Address - State:TX
Mailing Address - Zip Code:79031-0130
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:472 FM302
Practice Address - Street 2:
Practice Address - City:EARTH
Practice Address - State:TX
Practice Address - Zip Code:79031-0130
Practice Address - Country:US
Practice Address - Phone:806-257-3310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)