P Praxis·MD
● Active Type 1 · Individual

Shane David Statham

Nurse Practitioner·Wichita Falls, TX· NPI 1902422603 · Enumerated 2020 · 5 years on NPI
Statham is 1 of 118 nurse practitioner providers in Wichita Falls and 1 of 22123 in Texas.
NPI age
5 years
Enumerated 2020-06-18
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-06Enumerated in NPPES
2020 2026

Where they practice

Practice location
5800 Kell Blvd Ste 500
Wichita Falls, TX 763101618
📞 9402608976fax 8885108976
Mailing address
5800 Kell Blvd Ste 500
Wichita Falls, TX 763101618
📞 9402608976fax 8885108976

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #1017571 taxonomy 363LF0000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Wichita Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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