| NPI | 1780014266 |
|---|---|
| Doing Business As | PREFERRED INDEPENDENT PHYSICIAN ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | SHAMA P QURAISHI CEO 409-832-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |