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Individual
DR. PEDRO ELIAS CHECO
Active
Individual
DR. PEDRO ELIAS CHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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 NUMBER
TX
01
—
45D0996439
CLIA WAIVER CERTIFICATE
TX
01
—
8F5000
BLUE CROSS PROVIDER #
TX
Enumeration date
07/25/2006
Last updated
11/20/2012
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