Provider Demographics
NPI:1942414644
Name:BRAZOS ISD
Entity Type:Organization
Organization Name:BRAZOS ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RENFROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-885-2987
Mailing Address - Street 1:1741 HIGHWAY 90 W
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEALY
Mailing Address - State:TX
Mailing Address - Zip Code:77474-3453
Mailing Address - Country:US
Mailing Address - Phone:979-885-2987
Mailing Address - Fax:
Practice Address - Street 1:1741 HIGHWAY 90 W
Practice Address - Street 2:SUITE A
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-3453
Practice Address - Country:US
Practice Address - Phone:979-885-2987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)