MEDISTAT GROUP ASSOCIATES, INC. – Adult Medicine Physician, NPI 1376565341

MEDISTAT GROUP ASSOCIATES, INC. is a healthcare provider. based in Desoto, Texas. specializing in Adult Medicine Physician. The organization holds a License No. G6955 (TX). The NPI Number for MEDISTAT GROUP ASSOCIATES, INC. is 1376565341

Main info

Organization
Name
MEDISTAT GROUP ASSOCIATES, INC.
NPI
1376565341
Phone
(972) 709-1781
Address
2617 BOLTON BOONE DR
Authorized Official
MRS. TERI LOUISE SHIPMAN OFFICE MANAGER
Enumeration Date
25 July 2006
Last Update Date
5 October 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MEDISTAT GROUP ASSOCIATES, INC.

  • 2617, Bolton Boone Drive, DeSoto, Dallas County, Texas, 75115, United States

    SUITE B

    DESOTO, TX 751152074

    Phone: (972) 709-1781

    Fax: (972) 709-1782

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75115)

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Frequently asked questions

How do I look up MEDISTAT GROUP ASSOCIATES, INC. by NPI?
Use NPI 1376565341 when you need to reference MEDISTAT GROUP ASSOCIATES, INC. in forms, claims, or directories.
Is MEDISTAT GROUP ASSOCIATES, INC. currently active in the NPI registry?
CMS-published data lists MEDISTAT GROUP ASSOCIATES, INC. as an active registrant.
Does MEDISTAT GROUP ASSOCIATES, INC. list a primary specialty?
If you are matching referrals, note Adult Medicine Physician for MEDISTAT GROUP ASSOCIATES, INC.. Clinical services aligned with this taxonomy classification.
What location metadata exists for MEDISTAT GROUP ASSOCIATES, INC.?
The page summarizes Desoto, Texas for MEDISTAT GROUP ASSOCIATES, INC.; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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