Provider Demographics
NPI:1942298682
Name:PREFERRED QUALITY MEDICAL SERVICES
Entity Type:Organization
Organization Name:PREFERRED QUALITY MEDICAL SERVICES
Other - Org Name:PREFERRED QUALITY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-205-1160
Mailing Address - Street 1:112 WESTMINISTER AVE
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4413
Mailing Address - Country:US
Mailing Address - Phone:972-384-1148
Mailing Address - Fax:972-384-1149
Practice Address - Street 1:405 MAYFIELD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5420
Practice Address - Country:US
Practice Address - Phone:972-205-1160
Practice Address - Fax:972-278-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156209201Medicaid
TX156209202OtherMEDICAID
4638990001Medicare ID - Type Unspecified