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JAKOB A DEVORE LSA NPI 1245686518


NPI Information

NPI: 1245686518
Provider Name: JAKOB A DEVORE, LSA
Classification: Specialist/Technologist, Other - 246ZC0007X
Entity Type: Individual

Specialization: Surgical Assistant

Address:
5309 CORN FIELD DR
FORT WORTH, TX
ZIP 76179
Phone: (214) 227-2457
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Jakob A Devore, LSA is a surgical assistant specialist technologist other in Fort Worth, TX. The provider is a surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. Jakob A Devore, LSA NPI is 1245686518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5309 CORN FIELD DR
FORT WORTH, TX
ZIP 76179-163
Phone: (214) 227-2457
Fax: (214) 764-0880

The enumeration date for this NPI number is 5/5/2016 and was last updated on 9/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1246ZS0410XSpecialist/Technologist, OtherSurgical Technologist142172KANSASNo
2246ZC0007XSpecialist/Technologist, OtherSurgical AssistantSA00729TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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