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Organization
KENNARD ISD
Active
Organization
KENNARD ISD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BAXTER (SUPERINTENDENT)
(936) 655-2161
Entity
Organization
Contact information
Practice address
304 HIGHWAY 7 E, KENNARD, TX 75847-5627
(936) 655-2161
Mailing address
304 HIGHWAY 7 E, KENNARD, TX 75847-5627
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751456089
—
TX
Enumeration date
04/03/2013
Last updated
04/03/2013
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