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Search › Texas › 246ZC0007X

Jakob Devore, LSA

NPI 1245686518 · on the registry since 2016 · sole proprietor

Practice

Address
5309 Corn Field Dr
Fort Worth, TX 76179
Phone
(214) 227-2457
Fax
(214) 764-0880
Organisation at this address
Cutting Edge First Assist, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
246ZC0007X
246ZC0007X
Also registered as
246ZS0410X
Licence states on file
KS, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-10

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