Provider Demographics
NPI:1174724223
Name:JOHN H. WOOD JR. PUBLIC CHARTER DISTRICT
Entity type:Organization
Organization Name:JOHN H. WOOD JR. PUBLIC CHARTER DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF INSTRUCTIONAL PROGRAMS
Authorized Official - Prefix:MS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:POLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-499-0350
Mailing Address - Street 1:3201 CHERRY RIDGE ST
Mailing Address - Street 2:STE. C315
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4823
Mailing Address - Country:US
Mailing Address - Phone:210-499-0350
Mailing Address - Fax:210-499-3052
Practice Address - Street 1:3201 CHERRY RIDGE ST
Practice Address - Street 2:STE. C315
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4823
Practice Address - Country:US
Practice Address - Phone:210-499-0350
Practice Address - Fax:210-499-3052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)