Provider Demographics
NPI:1992226963
Name:MOTLEY COUNTY ISD
Entity type:Organization
Organization Name:MOTLEY COUNTY ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-347-2676
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:MATADOR
Mailing Address - State:TX
Mailing Address - Zip Code:79244-0310
Mailing Address - Country:US
Mailing Address - Phone:806-347-2676
Mailing Address - Fax:
Practice Address - Street 1:1600 BUNDY ST
Practice Address - Street 2:
Practice Address - City:MATADOR
Practice Address - State:TX
Practice Address - Zip Code:79244-2039
Practice Address - Country:US
Practice Address - Phone:806-347-2676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid