Provider Demographics
NPI:1205580727
Name:BEEYOND HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:BEEYOND HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-414-4555
Mailing Address - Street 1:404 TWIN OAK TRL
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3719
Mailing Address - Country:US
Mailing Address - Phone:737-414-4555
Mailing Address - Fax:737-237-0277
Practice Address - Street 1:404 TWIN OAK TRL
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3719
Practice Address - Country:US
Practice Address - Phone:737-414-4555
Practice Address - Fax:737-237-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory