Deshazer, Raymond Dale

Deshazer, Raymond Dale is an individual health care provider with primary practice located at 2001 108Th St Ste 104, Grand Prairie TX 75050-1437. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Deshazer, Raymond Dale can be contacted via phone (214) 677-0186.

Contact Information

Primary practice address
2001 108Th St Ste 104 Grand Prairie TX 75050-1437
Phone: (214) 677-0186
Fax: (214) 677-0157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X ATP88264 Texas

Profile Details

NPI number 1831625862
LBN Legal business name Deshazer, Raymond Dale
Credentials ATP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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