Vallera, Raymond A
Vallera, Raymond A is an individual health care provider with primary practice located at 701 Tuscan Dr Suite #110, Irving TX 75039-4133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Vallera, Raymond A can be contacted via phone (214) 496-1100.Contact Information
Primary practice address
701 Tuscan Dr Suite #110
Irving TX 75039-4133
Phone: (214) 496-1100
Fax: (214) 496-1110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | K1112 | Texas |
Profile Details
| NPI number | 1922084888 |
|---|---|
| LBN Legal business name | Vallera, Raymond A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | May 16th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922084888 | NPPES |
| Texas | MEDICAID | 117564802 | |
| Texas | Other | 89Y245 |
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