Raphaelle D. Vallera in Dallas - Specialist
Raphaelle D. Vallera - NPI 1790777365
Raphaelle D. Vallera is a Specialist in Dallas, Texas. Raphaelle D. Vallera practices all healthcare services and medical treatments related to Specialist. The NPI Number for Raphaelle D. Vallera is 1790777365. The last update date is 2017-02-14.
Raphaelle D. Vallera's current location address is 3417 Gaston Ave, Dallas, Texas. You can contact this provider via phone number 4698008020 and fax number 4698008030. The mailing address for Raphaelle D. Vallera is 3417 Gaston Ave, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Raphaelle D. Vallera |
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Address | 3417 Gaston Ave, Dallas, Texas |
Phone Number | 4698008020 |
Fax Number | 4698008030 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1790777365 |
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Provider Enumeration Date | 2005-08-18 |
Last Updated Date | 2017-02-14 |
Provider Mailing Address Detail
Address | 3417 Gaston Ave |
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City | Dallas |
State | Texas (TX) |
Post Code | 752462016 |
Phone Number | 4698008020 |
Fax Number | 4698008030 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | K1711 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
900003262 | TX | RAILROAD MEDICARE | |
15857566 | TX | PACIFICARE | |
4242788002 | TX | CIGNA | |
31518601 | TX | -- | |
1420298 | TX | UNITED | |
5487391 | TX | AETNA |
Post Comment/ Review Below
What is the Raphaelle D. Vallera's 1790777365?
The Raphaelle D. Vallera's NPI (National Provider Identifier) Number is 1790777365. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Raphaelle D. Vallera is physically located?
The Raphaelle D. Vallera is physically situated at the following address: 3417 Gaston Ave, Dallas, TX, 752462016.
What is Raphaelle D. Vallera's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Raphaelle D. Vallera's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date was the 1790777365 assigned to Raphaelle D. Vallera?
The Raphaelle D. Vallera was issued its 1790777365 on 2005-08-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Raphaelle D. Vallera's information last updated?
The Raphaelle D. Vallera's information was last updated on 2017-02-14.