Provider Demographics
NPI:1467918649
Name:HOWE, SHEENA MACKENZIE (RDN, LD)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:MACKENZIE
Last Name:HOWE
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:SHEENA
Other - Middle Name:MACKENZIE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LD
Mailing Address - Street 1:3332 CAMELOT DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-5905
Mailing Address - Country:US
Mailing Address - Phone:405-706-0011
Mailing Address - Fax:
Practice Address - Street 1:8989 FOREST LN STE 146
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4159
Practice Address - Country:US
Practice Address - Phone:972-792-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86051914133V00000X
TXDT83854133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered