Doctor Name: | JOHN DAVID DEEDS |
NPI Number: | 1033498043 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATP |
License Number: | ATP5470 |
Business Practice Address: | 944 Melbourne Rd Hurst, TX - 760534633 |
Business Phone Number: | 8175891110 |
Business Fax Number: | 8175951984 |
Mailing Address: | 944 Melbourne Rd, HURST |
State: | TX |
Postal Code: | 760534633 |
Phone Number: | 8175891110 |
Fax Number: | 8175951984 |
NPI Enumeration Date: | 08/08/2011 |
NPI Last Update Date: | 08/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225CA2400X |
License Number: | ATP5470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Counselor |
Taxonomy Specialization: | Assistive Technology Practitioner |
Taxonomy Definition: |