Provider Demographics
NPI:1871876557
Name:EXCELSIOR ISD
Entity type:Organization
Organization Name:EXCELSIOR ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-598-5866
Mailing Address - Street 1:11270 STATE HIGHWAY 7 W
Mailing Address - Street 2:
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-5787
Mailing Address - Country:US
Mailing Address - Phone:936-598-5866
Mailing Address - Fax:936-598-2076
Practice Address - Street 1:11270 STATE HIGHWAY 7 W
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-5787
Practice Address - Country:US
Practice Address - Phone:936-598-5866
Practice Address - Fax:936-598-2076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)