Provider Demographics
NPI:1730539586
Name:SNOOK INDEPENDENT SCHOOL DISTRICT
Entity type:Organization
Organization Name:SNOOK INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-272-8307
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:SNOOK
Mailing Address - State:TX
Mailing Address - Zip Code:77878-0087
Mailing Address - Country:US
Mailing Address - Phone:979-272-8307
Mailing Address - Fax:
Practice Address - Street 1:10110 FM 2155
Practice Address - Street 2:
Practice Address - City:SNOOK
Practice Address - State:TX
Practice Address - Zip Code:77878-0087
Practice Address - Country:US
Practice Address - Phone:979-272-8307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid