Raymond Deshazer, ATP

NPI 1831625862 · on the registry since 2017

Practice

Address: 2001 108th St
Ste 104
Grand Prairie, TX 75050
Phone: (214) 677-0186
Fax: (214) 677-0157
Organisation at this address: Allumed, Inc.
C3 Christian Academy, Inc.
National Seating & Mobility, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Other Technician
247200000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-05-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas