Provider Demographics
NPI:1538400957
Name:HOUSTON TRINITY COUNTY SHARED SERVICES
Entity type:Organization
Organization Name:HOUSTON TRINITY COUNTY SHARED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRANCH
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:936-544-9562
Mailing Address - Street 1:PO BOX 1096
Mailing Address - Street 2:
Mailing Address - City:LATEXO
Mailing Address - State:TX
Mailing Address - Zip Code:75849-1096
Mailing Address - Country:US
Mailing Address - Phone:936-544-9562
Mailing Address - Fax:936-544-5253
Practice Address - Street 1:2210 N 4TH ST
Practice Address - Street 2:
Practice Address - City:CROCKETT
Practice Address - State:TX
Practice Address - Zip Code:75835-5337
Practice Address - Country:US
Practice Address - Phone:936-544-9562
Practice Address - Fax:936-544-5352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)