Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medistat Group Associates, Inc

Organization Adult Medicine Physician · NPI 1376565341

Medistat Group Associates, Inc is an Adult Medicine Physician in Desoto, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2617 Bolton Boone Dr Ste B
Desoto, TX 75115-2074
Phone: (972) 709-1781
Fax: (972) 709-1782
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Pulmonary Function Technologist Taxonomy 225B00000X
Pulmonary Rehabilitation Certified Respiratory Therapist Taxonomy 2278P1005X
Health Service Clinic/Center Taxonomy 261QH0100X · Licence G6955 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1376565341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teri Shipman — Office Manager · (972) 709-1781
NPI enumeratedJuly 25, 2006
Last updated in NPPESOctober 5, 2008
Mailing address2617 Bolton Boone Dr, Suite B, Desoto, TX 75115-2074