MEDICARE: GENCO

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM2500X	Medical Specialty Clinic/Center
2	101YP2500X	Professional Counselor
3	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1962636134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENCO

Provider Business Mailing Address
First Line	:	PO BOX 6199
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78502-6199
Country	:	US
Telephone Number	:	956-631-6109
Fax Number	:	956-631-6125

Provider Business Practice Location Address
First Line	:	2501 BUDDY OWENS
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504
Country	:	US
Telephone Number	:	956-631-6109
Fax Number	:	956-631-6125

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	PAUL TREVINO
Credential	:
Telephone Number	:	956-631-6109

Provider Enumeration Date	:	05/04/2009
Last Update Date	:	06/03/2026

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Directions to “GENCO ” Practice Location

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