Boys & Girls Clubs of South Central Texas

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BOYS & GIRLS CLUBS OF SOUTH CENTRAL TEXAS

Doing business as

Texas Preparatory School

Practice address

900 Bugg Lane Ste 110 a
San Marcos, TX 78666

Phone

(512) 805-3000

Fax

(512) 805-7739

NPI assigned

May 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark A Terry

Title

Ceo and Superintendent

Phone

(512) 805-3000

Specialties & licenses 1

Addresses

Other names 1

• Texas Preparatory School Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760604110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1643",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "78667",
            "telephone_number": "512-805-3000",
            "fax_number": "512-805-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BUGG LANE STE 110 A",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "78666",
            "telephone_number": "512-805-3000",
            "fax_number": "512-805-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS & GIRLS CLUBS OF SOUTH CENTRAL TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO AND SUPERINTENDENT",
        "authorized_official_telephone_number": "512-805-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Preparatory School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana R Bourke, NP
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• Local Education Agency (LEA) in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Local Education Agency (LEA) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.