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

Samuel Paul Devereux, CO, LPO

Individual provider Prosthetist · NPI 1396413977

Samuel Paul Devereux, CO, LPO is a Prosthetist in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

6011 Harry Hines Blvd 2nd Fl Ste 302
Dallas, TX 75235
Phone: (214) 645-8250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence 2186 (TX)
Prosthetist Taxonomy 224P00000X · Licence 2186 (TX)

Record details

NPI number1396413977
Entity typeIndividual (Type 1)
GenderMale
Credentials CO , LPO
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021

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