Medistat Group Associates, Inc. in Desoto - Adult Medicine
Medistat Group Associates, Inc. - NPI 1376565341
Medistat Group Associates, Inc. is a Adult Medicine in Desoto, Texas. Medistat Group Associates, Inc. practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Medistat Group Associates, Inc. is 1376565341. The last update date is 2008-10-05.
Medistat Group Associates, Inc.'s current location address is 2617 Bolton Boone Dr, Desoto, Texas. You can contact this provider via phone number 9727091781 and fax number 9727091782. The mailing address for Medistat Group Associates, Inc. is 2617 Bolton Boone Dr, Desoto, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Medistat Group Associates, Inc. |
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Address | 2617 Bolton Boone Dr, Desoto, Texas |
Phone Number | 9727091781 |
Fax Number | 9727091782 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICE MAN |
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Authorized Official Name | Shipman Louise Teri |
Telephone Number | 9727091781 |
NPI Number Detail
NPI Number | 1376565341 |
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Provider Enumeration Date | 2006-07-25 |
Last Updated Date | 2008-10-05 |
Provider Mailing Address Detail
Address | 2617 Bolton Boone Dr |
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City | Desoto |
State | Texas (TX) |
Post Code | 751152074 |
Phone Number | 9727091781 |
Fax Number | 9727091782 |
Provider's Primary Taxonomy Detail
Speciality | Adult Medicine |
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Taxonomy | 207Qa0505X |
Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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What is the unique identifier code issued to Medistat Group Associates, Inc. by the Centers for Medicare & Medicaid Services?
The Medistat Group Associates, Inc. has been assigned the NPI (National Provider Identifier) 1376565341. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Medistat Group Associates, Inc.?
The Medistat Group Associates, Inc. is situated at 2617 Bolton Boone Dr, in the city of Desoto, state of TX, with the zip code 751152074.
What is the Medistat Group Associates, Inc.'s specialty and taxonomy code?
The Medistat Group Associates, Inc.'s specialty is Adult Medicine, and the corresponding taxonomy code is 207Qa0505X.
On what date did the Medistat Group Associates, Inc. receive the assignment of its 1376565341 from the Centers for Medicare & Medicaid Services?
The Medistat Group Associates, Inc. was issued its 1376565341 by the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the information related to Medistat Group Associates, Inc. most recently updated or refreshed?
The details pertaining to the Medistat Group Associates, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-05.