MEDICARE: KOIYA ROLLEY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1028232	TX

General Provider Information

NPI Number	:	1275467813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KOIYA ROLLEY NP

Provider Business Mailing Address
First Line	:	3900 W NORTHWEST HWY APT 1317
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75220-5114
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 W MOCKINGBIRD LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-4931
Country	:	US
Telephone Number	:	469-983-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

Similar Medicare Providers

1629008941 — HOOMAN SEDIGHI M.D.
Practice Location Address:

1420 W MOCKINGBIRD LN , STE. 420
DALLAS, TX
75247-4931

Practice Phone: 214-267-0101
Practice Fax: 214-267-8787

1942230149 — HOOMAN SEDIGHI, M.D., P.A.
Practice Location Address:

1420 W MOCKINGBIRD LN , STE. 420
DALLAS, TX
75247-4931

Practice Phone: 214-267-0101
Practice Fax: 214-267-8787

1144399460 — DR. MARTIA LEWIS LEFFALL DDS
Practice Location Address:

1420 W MOCKINGBIRD LN , SUITE 500
DALLAS, TX
75247-4931

Practice Phone: 214-630-7080
Practice Fax: 214-630-7085

1609097401 — DR. MICHELLE TEOH D.D.S.
Practice Location Address:

1420 W MOCKINGBIRD LN , SUITE 500
DALLAS, TX
75247-4931

Practice Phone: 214-630-7080
Practice Fax: 214-630-7085

1700099942 — DR. BRIAN OZENBAUGH D.D.S.
Practice Location Address:

1420 W MOCKINGBIRD LN , SUITE 500
DALLAS, TX
75247-4931

Practice Phone: 214-630-7080
Practice Fax: 214-630-7085

1871706655 — DR. BEVERLY YORK D.D.S.
Practice Location Address:

1420 W MOCKINGBIRD LN , SUITE 500
DALLAS, TX
75247-4931

Practice Phone: 214-630-7080
Practice Fax: 214-630-7085

Directions to “ KOIYA ROLLEY NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.