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REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC NPI 1053373951


NPI Information

NPI: 1053373951
Provider Name: REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1602 ROCK PRAIRIE RD
STE 460
COLLEGE STATION, TX
ZIP 77845
Phone: (979) 696-0267
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REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC is an internal medicine in College Station, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC NPI is 1053373951. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1602 ROCK PRAIRIE RD
STE 460
COLLEGE STATION, TX
ZIP 77845-306
Phone: (979) 696-0267
Fax: (979) 694-4703

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Senior Director and has the following contact phone number (615) 465-3334.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 7/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6207T00000XNeurological SurgeryNo
7207V00000XObstetrics & GynecologyNo
8207X00000XOrthopaedic SurgeryNo
9208600000XSurgeryNo
10208D00000XGeneral PracticeNo
11363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080138303MEDICAIDTEXAS
20010EBOTHERTEXASBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.