Provider Demographics
NPI:1053058669
Name:PREFERRED PARTNERS SPECIALTY CARE INC
Entity Type:Organization
Organization Name:PREFERRED PARTNERS SPECIALTY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RAMACHANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-692-0518
Mailing Address - Street 1:212 E CROSSTIMBERS ST STE 130
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-4409
Mailing Address - Country:US
Mailing Address - Phone:713-692-0518
Mailing Address - Fax:
Practice Address - Street 1:212 E CROSSTIMBERS ST STE 130
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-4409
Practice Address - Country:US
Practice Address - Phone:713-692-0518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty