Provider Demographics
NPI:1265623490
Name:GENERATIONS DME INC.
Entity type:Organization
Organization Name:GENERATIONS DME INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUCINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUEVARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-423-2011
Mailing Address - Street 1:P O BOX 530233
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-0233
Mailing Address - Country:US
Mailing Address - Phone:956-423-2011
Mailing Address - Fax:956-423-2273
Practice Address - Street 1:815 N FM 509
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-1855
Practice Address - Country:US
Practice Address - Phone:956-423-2011
Practice Address - Fax:956-423-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX209595201Medicaid