Organization
PREFERRED DOCTORS ALLIANCE, LLC
Active
Other names
Preferred Independent Physician Association
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMA P QURAISHI M.D. (CEO)
(409) 832-7195
Entity
Organization
Contact information
Practice address
1050 S 11TH ST, BEAUMONT, TX 77701-4739
(409) 832-7195
(409) 892-5939
Mailing address
1050 S 11TH ST, BEAUMONT, TX 77701-4739
(409) 832-7195
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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