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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
JENNIFER L JACKSON (SENIOR DIRECTOR)
(615) 465-3334
Entity
Organization
Contact information
Practice address
400 HOSPITAL DR STE 201, CORSICANA, TX 75110-2489
(903) 641-4870
(903) 641-4877
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7042
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023DM
BLUE CROSS
TX
05
—
080138301
—
TX
Enumeration date
04/03/2006
Last updated
01/11/2023
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