Individual
TINA MORELL FAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5445 LA SIERRA DR STE 105, DALLAS, TX 75231-2352
(214) 540-1428
Mailing address
163 TOWN PL STE 189163, FAIRVIEW, TX 75069-1821
(469) 457-4544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
645189
CA
163WC1500X
Community Health Registered Nurse
645189
CA
163WS0200X
School Registered Nurse
645189
CA
363LP0200X
Pediatric Nurse Practitioner
19642
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP144149
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP144149
TX
Other
Enumeration date
11/08/2007
Last updated
06/10/2025
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