MEDICARE: CHRISTOPHER M REGAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	E6158	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942228267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER M REGAN MD

Provider Business Mailing Address
First Line	:	3427 TRINITY MILLS RD # 800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-6202
Country	:	US
Telephone Number	:	972-862-8600
Fax Number	:	972-307-5963

Provider Business Practice Location Address
First Line	:	3427 TRINITY MILLS RD # 800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-6202
Country	:	US
Telephone Number	:	972-862-8600
Fax Number	:	972-307-5963

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	02/26/2022

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