| Preston Medical Associates Pa | |
|
3211 Internet Blvd Suite 280 Frisco TX 75034-1944 | |
| (469) 633-9700 | |
| (469) 633-9701 |
| Full Name | Preston Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3211 Internet Blvd, Frisco, Texas |
| Authorized Official Name and Position | Pedro Elias Checo (PRESIDENT) |
| Authorized Official Contact | 4696339700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Medical Associates Pa 3211 Internet Blvd Suite 280 Frisco TX 75034-1944 Ph: (469) 633-9700 | Preston Medical Associates Pa 3211 Internet Blvd Suite 280 Frisco TX 75034-1944 Ph: (469) 633-9700 |
| NPI Number | 1083624571 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 11/20/2012 |
| Medicare PECOS PAC ID | 2466455548 |
|---|---|
| Medicare Enrollment ID | O20060809000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083624571 | NPI | - | NPPES |
| 8F5000 | Other | TX | BLUE CROSS PROVIDER # |
| 0072HD | Other | TX | BLUE CROSS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H8602 (Texas) | Primary |
| Provider Name | Pedro Elias Checo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285656207 PECOS PAC ID: 8820091911 Enrollment ID: I20121212000409 |
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