Provider Demographics
NPI:1497381420
Name:COWEN, KRISTA (RDN, LD)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:COWEN
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:
Other - Last Name:HOWIESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5224 DILLON CIR
Mailing Address - Street 2:
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76137-5508
Mailing Address - Country:US
Mailing Address - Phone:469-688-7954
Mailing Address - Fax:
Practice Address - Street 1:5224 DILLON CIR
Practice Address - Street 2:
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76137-5508
Practice Address - Country:US
Practice Address - Phone:469-688-7954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-21
Last Update Date:2020-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82650133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered