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

Rahwa Fisshatsion Demas

Individual provider Family Nurse Practitioner · NPI 1063219202

Rahwa Fisshatsion Demas is a Nurse Practitioner in Dallas, Texas. Qualified in 2024, 2 years ago. Practices with Desoto Healthcare Clinic LLC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

8050 Meadow Rd
Dallas, TX 75231-3406
Phone: (469) 232-6500
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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 1189540 (TX)

Record details

NPI number1063219202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 26, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Desoto Healthcare Clinic Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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