Provider Demographics
NPI:1831233485
Name:THE PHOENIX CHARTER SCHOOL
Entity type:Organization
Organization Name:THE PHOENIX CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASSCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-454-7153
Mailing Address - Street 1:8501 JACK FINNEY BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-3018
Mailing Address - Country:US
Mailing Address - Phone:903-454-7153
Mailing Address - Fax:903-454-7806
Practice Address - Street 1:8501 JACK FINNEY BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-3018
Practice Address - Country:US
Practice Address - Phone:903-454-7153
Practice Address - Fax:903-454-7806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)