Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jakob A Devore, LSA

Individual provider Surgical Technologist · NPI 1245686518

Jakob A Devore, LSA is a Surgical Technologist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Kansas and Texas.

Licensed in
KS, TX
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

5309 Corn Field Dr
Fort Worth, TX 76179-8163
Phone: (214) 227-2457
Fax: (214) 764-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00729 (TX)
Surgical Technologist Taxonomy 246ZS0410X · Licence 142172 (KS)

Record details

NPI number1245686518
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedMay 5, 2016
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020
Mailing address5309 Corn Field Dr, Fort Worth, TX 76179-8163

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