Provider Demographics
NPI:1891231619
Name:FRIENDSWOOD INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:FRIENDSWOOD INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DESHOTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-482-1267
Mailing Address - Street 1:302 LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3923
Mailing Address - Country:US
Mailing Address - Phone:281-482-1267
Mailing Address - Fax:
Practice Address - Street 1:302 LAUREL DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3923
Practice Address - Country:US
Practice Address - Phone:281-482-1267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid