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Organization
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC
Active
Organization
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L JACKSON (SR. DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization
Contact information
Practice address
2142 SUNSET DR, SAN ANGELO, TX 76904-6829
(325) 245-4000
Mailing address
2403 N LAURENT ST, VICTORIA, TX 77901-4119
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037HD
BLUE CROSS
TX
05
—
080138312
—
TX
Enumeration date
04/04/2006
Last updated
09/24/2020
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