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Individual

JOHN DAVID DEEDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATP

Contact information

Practice address
944 MELBOURNE RD, HURST, TX 76053-4633
(817) 589-1110
(817) 595-1984
Mailing address
944 MELBOURNE RD, HURST, TX 76053-4633
(817) 589-1110
(817) 595-1984

Taxonomy

Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
ATP5470
TX
247200000X
Other Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142593601
TX
Enumeration date
08/08/2011
Last updated
06/11/2025
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