Organization
CLYDE CONS ISD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GALE HATERIUS (DIRECTOR)
(325) 893-4222
Entity
Organization
Contact information
Practice address
526 SHALIMAR, CLYDE, TX 79510
(325) 893-4222
Mailing address
526 SHALIMAR, CLYDE, TX 79510
(325) 893-4222
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
10/09/2007
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