Individual
SAMUEL PAUL DEVEREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO, LPO
Contact information
Practice address
6011 HARRY HINES BLVD 2ND FLOOR SUITE 302, DALLAS, TX 75235
(214) 645-8250
Mailing address
6011 HARRY HINES BLVD, 2ND FLOOR SUITE 302, DALLAS, TX 75235-1838
(214) 645-8250
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
2186
TX
224P00000X
Prosthetist
2186
TX
Other
Enumeration date
08/31/2021
Last updated
09/16/2021
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