Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MEDISTAT GROUP ASSOCIATES, INC.
Active OrganizationAdolescent Medicine · DESOTO, TX
Registration Details
- NPI Number
- 1376565341
- Provider Type
- Organization
- NPI Issued
- Jul 25, 2006 (19.782382345636 yrs)
- Last Updated
- Oct 5, 2008
- License
-
G6955 (TX)
Practice Information
- Address
-
2617 BOLTON BOONE DRSUITE BDESOTO, TX, 751152074Browse TX providers · Browse ZIP 75115
- Phone
- 9727091781
- Fax
- 9727091782
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
- Additional Specialty
- Pulmonary Function Technologist
- Additional Specialty
- 2278P1005X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.