Preferred Doctors Alliance, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PREFERRED DOCTORS ALLIANCE, LLC

Doing business as

Preferred Independent Physician Association

Practice address

1050 S 11TH St
Beaumont, TX 77701-4739

Phone

(409) 832-7195

Fax

(409) 892-5939

NPI assigned

Nov 19, 2013

Last updated

Nov 19, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shama P Quraishi, M.D.NPI 1649262007

Title

Ceo

Phone

(409) 832-7195

Specialties & licenses 1

Addresses

Other names 1

• Preferred Independent Physician Association Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shama P. Quraishi, M.D.

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1649262007
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1780014266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014739",
            "telephone_number": "409-832-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014739",
            "telephone_number": "409-832-7195",
            "fax_number": "409-892-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED DOCTORS ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "QURAISHI",
        "authorized_official_first_name": "SHAMA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-832-7195",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Independent Physician Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marguerite Powell
• Power Wheel Transportation
• Jay Powers, ATP
• Pranav Bhatt, MD, PLLC
• Alvin Hubert Prause, MD
• Preferred Home Health LP (Enhabit Home Health)
• Preferred Home Health, LP (Enhabit Hospice)
• Beverly Ann Prejean, NP-C
• Chyreon D Prejean
• Denise Fournet Prejean, PA-C

• Exclusive Provider Organization in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.