# MEDICAL EDGE HEALTHCARE GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prestonwood Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891877304
- **Authorized official:** CLAY HEIGHTEN M.D. (PRESIDENT)
- **Authorized official phone:** (972) 739-3001

## Contact information

- **Practice address:** 6957 W PLANO PKWY STE 1100, PLANO, TX 75093-1621
- **Practice address phone:** (972) 395-7533
- **Mailing address:** 6957 W PLANO PKWY STE 1100, PLANO, TX 75093-1621
- **Mailing address phone:** (972) 395-7533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | R24447 | TX | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 05/08/2008