Provider Demographics
NPI:1366511800
Name:HOUSTON ISD
Entity type:Organization
Organization Name:HOUSTON ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-803-6007
Mailing Address - Street 1:4400 W 18TH ST
Mailing Address - Street 2:MEDICAID FINANCE DEPT.
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-8501
Mailing Address - Country:US
Mailing Address - Phone:713-803-6007
Mailing Address - Fax:713-803-6033
Practice Address - Street 1:4400 W 18TH ST
Practice Address - Street 2:MEDICAID FINANCE DEPT.
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8501
Practice Address - Country:US
Practice Address - Phone:713-803-6007
Practice Address - Fax:713-803-6033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)