Provider Demographics
NPI:1467233551
Name:MORERI, SERABINA
Entity Type:Individual
Prefix:
First Name:SERABINA
Middle Name:
Last Name:MORERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SERABINA
Other - Middle Name:
Other - Last Name:ONSARIGO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ONSARIGO
Mailing Address - Street 1:517 LAURELWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-6399
Mailing Address - Country:US
Mailing Address - Phone:682-557-9771
Mailing Address - Fax:
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-742-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX803514163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse