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Organization

GENERATIONS MOBILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JESSE BENITEZ JR. (OWNER)
(210) 426-9543
Entity
Organization

Contact information

Practice address
8034 CULEBRA RD SUITE 118, SAN ANTONIO, TX 78251
(210) 426-9543
(210) 202-5011
Mailing address
8034 CULEBRA RD SUITE 118, SAN ANTONIO, TX 78251
(210) 426-9543
(210) 202-5011

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6773910001
PTAN
TX
Enumeration date
09/13/2012
Last updated
07/25/2013
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