Provider Demographics
NPI:1720551476
Name:ABOVE AND BEYOND THERAPIES
Entity Type:Organization
Organization Name:ABOVE AND BEYOND THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-321-0129
Mailing Address - Street 1:5403 ATASCOCITA TIMBERS N
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2691
Mailing Address - Country:US
Mailing Address - Phone:346-321-0129
Mailing Address - Fax:
Practice Address - Street 1:5403 ATASCOCITA TIMBERS N
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2691
Practice Address - Country:US
Practice Address - Phone:346-321-0129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-05
Last Update Date:2019-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health