Healthcare Provider Details

I. General information

NPI: 1841940442
Provider Name (Legal Business Name): SOPHIA WOLFE ZITA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOPHIA MARIE WOLFE MD

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1665 AURORA CT FL 3
AURORA CO
80045-2517
US

IV. Provider business mailing address

9900 N CENTRAL EXPY STE 500
DALLAS TX
75231-0928
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-0500
  • Fax:
Mailing address:
  • Phone: 214-987-3376
  • Fax: 469-532-0273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA209305
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: