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

MS. Solange Ajua Fonkem

Individual provider Certified Registered Nurse Anesthetist · NPI 1093416240

MS. Solange Ajua Fonkem is a Certified Registered Nurse Anesthetist (CRNA) in Dallas, Texas. Qualified in 2023, 3 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Illinois, Virginia and Wisconsin.

Years since qualifying
3
Licensed in
IL, VA, WI
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone: (214) 633-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209028537 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 0001243511 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 259219-30 (WI)

Record details

NPI number1093416240
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 14, 2023
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dallas