MEDICARE: GENERATION HEALTH AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	207QS1201X	Sleep Medicine (Family Medicine) Physician
3	207SG0201X	Clinical Genetics (M.D.) Physician
4	2084P0800X	Psychiatry Physician
5	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1306711056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERATION HEALTH AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	30 N GOULD ST STE R
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-6317
Country	:	US
Telephone Number	:	713-984-4700
Fax Number	:	713-984-4700

Provider Business Practice Location Address
First Line	:	2365 RICE BLVD STE 215
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2668
Country	:	US
Telephone Number	:	713-984-4700
Fax Number	:	713-984-4700

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KATHERINE THOMPSON
Credential	:	MD
Telephone Number	:	713-984-4700

Provider Enumeration Date	:	10/10/2025
Last Update Date	:	10/10/2025

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Directions to “GENERATION HEALTH AND WELLNESS LLC ” Practice Location

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