# RAPHAELLE D. VALLERA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790777365
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | K1711 | TX | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | K1711 | TX | Yes |

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 02/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 031518601 | — | TX |
| 01 | — | 1420298 | UNITED | TX |
| 01 | — | 15857566 | PACIFICARE | TX |
| 01 | — | 4242788002 | CIGNA | TX |
| 01 | — | 5487391 | AETNA | TX |
| 01 | — | 900003262 | RAILROAD MEDICARE | TX |