P Praxis·MD
● Active Type 2 · Organization

Medistat Group Associates, Inc.

Family Medicine·Desoto, TX· NPI 1376565341 · Enumerated 2006 · 19 years on NPI
Medistat Group Associates, Inc. is 1 of 312 family medicine organizations in Texas.
NPI age
19 years
Enumerated 2006-07-25
Primary specialty
Family Medicine
Plus 6 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shipman
Office Manager
Last NPPES update
2008-10-05
Source: monthly bulk 2026-05

How this organization compares

Across 312 active family medicine providers in Texas.

NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
6
In the 27% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
2617 Bolton Boone Dr, Suite B
Desoto, TX 751152074
📞 9727091781fax 9727091782
Mailing address
2617 Bolton Boone Dr, Suite B
Desoto, TX 751152074
📞 9727091781fax 9727091782

Authorized official

Teri Louise Shipman
Office Manager
📞 9727091781

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Family Medicine Primary
    The NUCC recommends this code not be used. Choose a more appropriate code.
    taxonomy 207QA0505X
  • Clinic/Center
    Definition to come...
    TX license #G6955 taxonomy 261QH0100X
  • Nurse Practitioner
    Definition to come...
    taxonomy 363LA2200X
  • Nurse Practitioner
    Definition to come...
    taxonomy 363LP2300X
  • Physical Medicine & Rehabilitation
    A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be...
    taxonomy 2081P2900X
  • Pulmonary Function Technologist
    An individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of...
    taxonomy 225B00000X
  • Respiratory Therapist, Certified
    The respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program. It includes bronchopulmonary drainage, exercise therapy, and patient education.
    taxonomy 2278P1005X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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