Individual
TONYKA ALYCIA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1325 PENNSYLVANIA AVE, SUITE 250, FORT WORTH, TX 76104-2158
(817) 878-2604
Mailing address
1325 PENNSYLVANIA AVE STE 290, FORT WORTH, TX 76104-2100
(817) 878-2604
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
2141
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2141
TX
213ES0131X
Foot Surgery Podiatrist
2141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193738501
—
TX
01
—
8N8359
BLUE CROSS BLUE SHIELD
TX
01
—
P00342393
MEDICARE RAILROAD
TX
Enumeration date
01/30/2006
Last updated
08/09/2021
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