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RAYMOND DALE DESHAZER ATP
NPI 1831625862
Technician, Other in Grand Prairie, TX

Active since May 11, 2017
2001 108TH ST, STE 104, GRAND PRAIRIE, TX 75050(214) 677-0186(214) 677-0157 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raymond Dale Deshazer Atp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYMOND DALE DESHAZER ATP (NPI 1831625862) is an individual technician, other provider in Grand Prairie, Texas, licensed in Texas (ATP88264) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1831625862
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameRAYMOND DALE DESHAZERCredential: ATP
Location Address2001 108TH ST, STE 104Grand Prairie, TX 75050-1437
Mailing Address1200 Red Hawk Bay DrWest Tawakoni, TX 75474-4530 · (469) 877-8113 · Fax (214) 677-0157
Phone(214) 677-0186
Fax(214) 677-0157
Sole ProprietorNo
Enumeration DateMay 11, 2017
✔ NPI 1831625862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
License✔ Licensed in TX · ATP88264
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.
2001 108TH ST, Grand Prairie, TX 75050
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY DOYLE
Technician, Health Information
2001 108TH ST, STE. 104
GRAND PRAIRIE, TX 75050
Dallas County (214) 677-0186
C3 CHRISTIAN ACADEMY, INC.
Clinic/Center (Adult Day Care)
2001 108TH ST, STE. 102
GRAND PRAIRIE, TX 75050
Dallas County (972) 623-2322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymond Deshazer's NPI number?

The NPI number for Raymond Deshazer is 1831625862. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Raymond Deshazer located?

Raymond Deshazer practices at 2001 108th St Ste 104, Grand Prairie, TX 75050. The listed phone number is (214) 677-0186.

What is Raymond Deshazer's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Raymond Deshazer was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.