Individual
RAPHAELLE D. VALLERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3417 GASTON AVE, SUITE 980, DALLAS, TX 75246-2016
(469) 800-8020
(469) 800-8030
Mailing address
3417 GASTON AVE, SUITE 980, DALLAS, TX 75246-2016
(469) 800-8020
(469) 800-8030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K1711
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
K1711
TX
Other
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
Enumeration date
08/18/2005
Last updated
02/14/2017
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