Provider Demographics
NPI:1265568430
Name:WILLIS ISD
Entity type:Organization
Organization Name:WILLIS ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-856-1222
Mailing Address - Street 1:204 W ROGERS ST
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77378-9239
Mailing Address - Country:US
Mailing Address - Phone:936-856-1222
Mailing Address - Fax:
Practice Address - Street 1:204 W ROGERS ST
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77378-9239
Practice Address - Country:US
Practice Address - Phone:936-856-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)