Provider Demographics
NPI:1336266642
Name:PETERSBURG ISD
Entity type:Organization
Organization Name:PETERSBURG ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARLENEA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-667-3585
Mailing Address - Street 1:1411 W 4TH ST
Mailing Address - Street 2:P O BOX 160
Mailing Address - City:PETERSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:79250
Mailing Address - Country:US
Mailing Address - Phone:806-667-3585
Mailing Address - Fax:806-667-3463
Practice Address - Street 1:1411 WEST 4TH STREET
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:TX
Practice Address - Zip Code:79250
Practice Address - Country:US
Practice Address - Phone:806-667-3585
Practice Address - Fax:806-667-3463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)