Provider Demographics
NPI:1255522975
Name:ABOVE AND BEYOND MOBILITY INC
Entity type:Organization
Organization Name:ABOVE AND BEYOND MOBILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:I
Authorized Official - Last Name:HOPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-567-6789
Mailing Address - Street 1:PO BOX 685
Mailing Address - Street 2:305 E TYLER ST
Mailing Address - City:CANTON
Mailing Address - State:TX
Mailing Address - Zip Code:75103-0685
Mailing Address - Country:US
Mailing Address - Phone:903-567-6789
Mailing Address - Fax:903-567-6868
Practice Address - Street 1:305 E TYLER ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:TX
Practice Address - Zip Code:75103-1417
Practice Address - Country:US
Practice Address - Phone:903-567-6789
Practice Address - Fax:903-567-6868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX752943526332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX532732OtherBLUE CROSS BLUE SHIELD
TX532732OtherBLUE CROSS BLUE SHIELD