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Organization
PRESTON MEDICAL ASSOCIATES PA
Active
Organization
PRESTON MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO ELIAS CHECO MD (PRESIDENT)
(469) 633-9700
Entity
Organization
Contact information
Practice address
3211 INTERNET BLVD, SUITE 280, FRISCO, TX 75034-1944
(469) 633-9700
(469) 633-9701
Mailing address
3211 INTERNET BLVD, SUITE 280, FRISCO, TX 75034-1944
(469) 633-9700
(469) 633-9701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H8602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072HD
BLUE CROSS GROUP #
TX
01
—
8F5000
BLUE CROSS PROVIDER #
TX
Enumeration date
08/08/2006
Last updated
11/20/2012
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