Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fasica Wondifraw

Individual provider Family Nurse Practitioner · NPI 1245798214

Fasica Wondifraw is a Nurse Practitioner in Allen, Texas. Qualified in 2018, 8 years ago. Practices with Primary Health Physicians PLLC, a 238-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

1218 W McDermott Dr
Allen, TX 75013-6304
Phone: (972) 390-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP139847 (TX)

Record details

NPI number1245798214
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 7, 2019
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020
Mailing address1218 W McDermott Dr, Allen, TX 75013-6304

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Primary Health Physicians Pllc — 238 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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