Provider Demographics
NPI:1003030180
Name:VALLINA, THERESE (RN)
Entity type:Individual
Prefix:
First Name:THERESE
Middle Name:
Last Name:VALLINA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:THERESE
Other - Middle Name:V
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN MPHI CPHQ
Mailing Address - Street 1:3600 ALMA RD APT 3818
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1122
Mailing Address - Country:US
Mailing Address - Phone:214-645-7083
Mailing Address - Fax:
Practice Address - Street 1:5939 HARRY HINES BLVD SUITE HQ7.711
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-3784
Practice Address - Country:US
Practice Address - Phone:214-645-7083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN141016163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN141016OtherRN