Juan Regalado, RN
Individual provider Active NPI Registered Nurse · Selma, TX
NPI 1417846320 · NPPES record last updated Jul 2, 2025
Key facts
- NPI
- 1417846320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1184550 (TX)
- Practice address
- 7726 Derby Run
Selma, TX 78154-3937 - Phone
- (309) 533-0258
- NPI assigned
- Jul 2, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1184550 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1184550 | TX | Yes |
Addresses
Primary practice location
7726 Derby Run
Selma, TX 78154-3937
Mailing address
7726 Derby Run
Selma, TX 78154-3937
Phone (309) 533-0258
Other providers in Selma, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.