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NPI Code Detail

MEDICARE: SOWSINA BERHE GOLA

MEDICARE: SOWSINA BERHE GOLA
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
1363LF0000XFamily Nurse Practitioner1180855TX

General Provider Information

NPI Number : 1780092304
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOWSINA BERHE GOLA
Provider Business Mailing Address
First Line : 1601 ELM ST STE 4210
Second Line :
City : DALLAS
State : TX
Zip : 75201-7282
Country : US
Telephone Number : 214-402-0101
Fax Number : 214-602-4114
Provider Business Practice Location Address
First Line : 5050 QUORUM DR STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75254-1410
Country : US
Telephone Number : 214-402-0101
Fax Number : 214-602-4114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 05/25/2026

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Directions to “ SOWSINA BERHE GOLA ” Practice Location

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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.

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