Vallera, Raphaelle D.

Vallera, Raphaelle D. is an individual health care provider with primary practice located at 3417 Gaston Ave Suite 980, Dallas TX 75246-2016. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Vallera, Raphaelle D. can be contacted via phone (469) 800-8020.

Contact Information

Primary practice address
3417 Gaston Ave Suite 980 Dallas TX 75246-2016
Phone: (469) 800-8020
Fax: (469) 800-8030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K1711 Texas
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X K1711 Texas

Profile Details

NPI number 1790777365
LBN Legal business name Vallera, Raphaelle D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Feb 14th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790777365 NPPES
Texas Other 900003262 RAILROAD MEDICARE
Texas Other 15857566 RAILROAD MEDICARE
Texas Other 4242788002 RAILROAD MEDICARE
Texas MEDICAID 031518601 RAILROAD MEDICARE
Texas Other 1420298 RAILROAD MEDICARE
Texas Other 5487391 RAILROAD MEDICARE

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