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Raymond Dale Deshazer, ATP
Other Technician in Grand Prairie, Texas
NPI 1831625862

Raymond Dale Deshazer is a Other Technician based in West Tawakoni, TX. Raymond Dale Deshazer practices in Grand Prairie, TX and has the professional credentials of ATP. The NPI Number for Raymond Dale Deshazer is 1831625862 and holds a License No. ATP88264 (Texas).

The current practice location address for Raymond Dale Deshazer is 2001 108Th St, Grand Prairie, TX and can be reached out via phone at 214-677-0186 and via fax at 214-677-0157.

Location: 2001 108Th St, Grand Prairie, TX, 75474-4530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831625862
Provider Name
Raymond Dale Deshazer
Credential
ATP
Provider Entity Type
Individual
Gender
Male
Address
2001 108Th St, Grand Prairie, TX, 75474-4530
Phone Number
214-677-0186
Fax Number
214-677-0157
Provider Enumeration Date
05/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2001 108Th St
City
Grand Prairie
State
Texas
Zip
75050-1437
Phone Number
214-677-0186
Fax Number
214-677-0157
person
Provider Business Mailing Address Details
Address
2001 108Th St
City
Grand Prairie
State
Texas
Zip
75050-1437
Phone Number
214-677-0186
Fax Number
214-677-0157
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
ATP88264 (Texas)
Definition
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.
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