Provider Demographics
NPI:1831239573
Name:VICTORIA INDEPENDENT SCHOOL DISTRICT
Entity type:Organization
Organization Name:VICTORIA INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID COORDINATOR FOR VISD
Authorized Official - Prefix:MRS
Authorized Official - First Name:BLANCA
Authorized Official - Middle Name:SIGALA
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:361-788-9261
Mailing Address - Street 1:1301 N NIMITZ ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-7144
Mailing Address - Country:US
Mailing Address - Phone:361-788-9261
Mailing Address - Fax:361-788-9907
Practice Address - Street 1:1301 N NIMITZ ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-7144
Practice Address - Country:US
Practice Address - Phone:361-788-9261
Practice Address - Fax:361-788-9907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)