Individual provider · Type 1 NPI

Raymond Dale Deshazer, ATP

Other Technician · Grand Prairie, TX

NPI number 1831625862 Active

Practice location

2001 108th St, Ste 104
Grand Prairie, TX 75050-1437

Call (214) 677-0186 Map

Fax (214) 677-0157

Mailing address

1200 Red Hawk Bay Dr
West Tawakoni, TX 75474-4530

Specialties and licenses

Taxonomy	Code	License
Other Technician Primary	247200000X	ATP88264 (TX)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

2 other providers at this address

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About NPI 1831625862

Raymond Dale Deshazer, ATP's National Provider Identifier is 1831625862, issued on May 11, 2017. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Grand Prairie, TX. The record was last updated on May 11, 2017.