Provider Demographics
NPI:1487822342
Name:SHEEN, DALE STUART LEE (LPO CO)
Entity Type:Individual
Prefix:MR
First Name:DALE
Middle Name:STUART LEE
Last Name:SHEEN
Suffix:
Gender:M
Credentials:LPO CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 90939
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77290-0939
Mailing Address - Country:US
Mailing Address - Phone:281-580-8228
Mailing Address - Fax:281-580-8229
Practice Address - Street 1:138 1ST ST W
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3619
Practice Address - Country:US
Practice Address - Phone:281-580-8228
Practice Address - Fax:281-580-8229
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0011744P3200X
TX1222Z00000X, 225000000X, 224P00000X
224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1744P3200XOtherORTHOTICS