Organization · Type 2 NPI
Medistat Group Associates, Inc.
Adult Medicine Physician · Desoto, TX
NPI number
1376565341
Active
Practice location
2617 Bolton Boone Dr, Suite B
Desoto, TX 75115-2074
Fax (972) 709-1782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | None listed |
| Pulmonary Function Technologist | 225B00000X | None listed |
| Pulmonary Rehabilitation Certified Respiratory Therapist | 2278P1005X | None listed |
| Health Service Clinic/Center | 261QH0100X | G6955 (TX) |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
3 other providers at this address
About NPI 1376565341
Medistat Group Associates, Inc.'s National Provider Identifier is 1376565341, issued on Jul 25, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Desoto, TX. The record was last updated on Oct 5, 2008.