Provider Demographics
NPI:1114969078
Name:INDEPENDENT CONCEPTS, INC.
Entity Type:Organization
Organization Name:INDEPENDENT CONCEPTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-457-1485
Mailing Address - Street 1:P.O. BOX 5335
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502
Mailing Address - Country:US
Mailing Address - Phone:956-782-1372
Mailing Address - Fax:956-782-1373
Practice Address - Street 1:2003 N I RD
Practice Address - Street 2:BAY # 7
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3204
Practice Address - Country:US
Practice Address - Phone:956-782-1372
Practice Address - Fax:956-782-1373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5629350001Medicare NSC