Regional Employee Assistance Program Inc.

Organization Active NPI Family Medicine Physician · Mesquite, TX

NPI 1215348487 · NPPES record last updated May 9, 2014

Key facts

NPI
1215348487
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC.
Practice address
2704 N Galloway Ave
Suite 103
Mesquite, TX 75150-6378
Phone
(214) 660-2500
Fax
(214) 660-2535
NPI assigned
May 9, 2014
Organization subpart
No

Authorized official

Name
Mr. James P Wright
Title
Sr. Director
Phone
(615) 465-7587

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040612000731 TX Part B Supplier - Clinic/Group Practice 1557260064 Receives reassigned benefits from 333 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Tri County Physicians S (7 organizations share this tax ID)

Locations

605 E San Antonio St
Ste 510E
Victoria, TX 77901
Phone (361) 576-9342

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X TX Yes

Addresses

Primary practice location

2704 N Galloway Ave
Suite 103
Mesquite, TX 75150-6378

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (800) 581-1886

Other providers in Mesquite, TX

All providers in Mesquite, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.