Provider Demographics
NPI:1487699344
Name:HARRIS COUNTY DEPARTMENT OF EDUCATION
Entity type:Organization
Organization Name:HARRIS COUNTY DEPARTMENT OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUPERINTENDENT, BUS. SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:J
Authorized Official - Last Name:AMEZCUA
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:713-696-1371
Mailing Address - Street 1:11920 WALTERS RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-1956
Mailing Address - Country:US
Mailing Address - Phone:281-397-4015
Mailing Address - Fax:281-397-4003
Practice Address - Street 1:11920 WALTERS ROAD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-1957
Practice Address - Country:US
Practice Address - Phone:713-696-3131
Practice Address - Fax:713-696-2133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101Y00000X101Y00000X
TX104100000X104100000X
TX133VN1004X133VN1004X
TX163W00000X163W00000X
TX224Z00000X224Z00000X
TX225100000X225100000X
TX225X00000X225X00000X
TX235Z00000X235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155194701Medicaid