Organization
NORTHSIDE INDEPENDENT SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON OWENS (SECRETARY-MEDICAID BILLING)
(940) 553-1900
Entity
Organization
Contact information
Practice address
18040 HWY. 283, VERNON, TX 76384
(940) 552-2551
(940) 553-4919
Mailing address
1713 WILBARGER ST, VERNON, TX 76384-4755
(940) 553-1900
(940) 552-5209
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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