NPI age
— years
Enumerated 2025-09-08
● Active
Type 1 · Individual
Angel Shibu, PA-C
Shibu is 1 of 13 physician assistant providers in Desoto and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
0 years
↓ 10 yr below median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-09Enumerated in NPPES
2025
2026
Where they practice
Practice location
2701 Prince George Ave Ste 100
Desoto, TX 751152087
Mailing address
2701 Prince George Ave Ste 100
Desoto, TX 751152087
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Desoto in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.