Raymond Dale Deshazer, ATP
Raymond Dale Deshazer, ATP is an Other Technician in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2017.
- Licensed in
- TX
- In the registry since
- 2017
Practice location Address checks out
2001 108th St Ste 104Grand Prairie, TX 75050-1437
Phone: (214) 677-0186
Fax: (214) 677-0157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X · Licence ATP88264 (TX) |
|---|
Record details
| NPI number | 1831625862 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATP |
| Sole proprietor | No |
| NPI enumerated | May 11, 2017 |
| Last updated in NPPES | May 11, 2017 |
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