Provider Demographics
NPI:1285656207
Name:CHECO, PEDRO ELIAS (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:ELIAS
Last Name:CHECO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3211 INTERNET BLVD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1948
Mailing Address - Country:US
Mailing Address - Phone:469-633-9700
Mailing Address - Fax:469-633-9701
Practice Address - Street 1:3211 INTERNET BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1944
Practice Address - Country:US
Practice Address - Phone:469-633-9700
Practice Address - Fax:469-633-9701
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH8602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F5000OtherBLUE CROSS PROVIDER #
TX0072HDOtherBLUE CROSS GROUP NUMBER
TX45D0996439OtherCLIA WAIVER CERTIFICATE
TX45D0996439OtherCLIA WAIVER CERTIFICATE
TXF24695Medicare UPIN
TX00117TMedicare ID - Type UnspecifiedMEDICARE GROUP NUMBER