NPI age
9 years
Enumerated 2017-05-11
● Active
Type 1 · Individual
Raymond Dale Deshazer, ATP
Deshazer is 1 of 10 technician, other providers in Grand Prairie and 1 of 804 in Texas.
Primary specialty
Technician, Other
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-05-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 804 active technician, other providers in Texas.
NPI age
9 years
≈ at median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-05Enumerated in NPPES
2017
2026
Where they practice
Practice location
2001 108th St, Ste 104
Grand Prairie, TX 750501437
Mailing address
1200 Red Hawk Bay Dr
West Tawakoni, TX 754744530
Specialties
-
Technician, Other PrimaryA 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...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.