Provider Demographics
NPI:1629441266
Name:ABOVE AND BEYOND MANAGEMENT
Entity type:Organization
Organization Name:ABOVE AND BEYOND MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NHUT
Authorized Official - Middle Name:CORY
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, FICOI, AFAAID
Authorized Official - Phone:214-357-6100
Mailing Address - Street 1:13655 PRESTON RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-4721
Mailing Address - Country:US
Mailing Address - Phone:214-357-6100
Mailing Address - Fax:
Practice Address - Street 1:13655 PRESTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4721
Practice Address - Country:US
Practice Address - Phone:214-357-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-04
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX21686261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies