Individual
QUINTA FONKWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5315 ROSS AVE, DALLAS, TX 75206-7418
(214) 826-2151
Mailing address
8305 LOMA ALTA TRL, MCKINNEY, TX 75070-6029
(513) 485-0783
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1140421
TX
Other
Enumeration date
11/17/2023
Last updated
11/25/2025
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