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

MS. Leticia Khosama, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1063768737

MS. Leticia Khosama, ANP is a Nurse Practitioner in Dallas, Texas. Qualified in 2012, 14 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

6303 Forest Park Rd
Dallas, TX 75235-5450
Phone: (214) 648-7401
Fax: (214) 648-1955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP122206 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 725588 (TX)

Record details

NPI number1063768737
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedJuly 31, 2012
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Dallas