Provider Demographics
NPI:1639679491
Name:SEHNERT, SCOTT (RD, CSSD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:SEHNERT
Suffix:
Gender:M
Credentials:RD, CSSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COWBOYS WAY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1963
Mailing Address - Country:US
Mailing Address - Phone:972-497-4995
Mailing Address - Fax:
Practice Address - Street 1:1 COWBOYS WAY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1963
Practice Address - Country:US
Practice Address - Phone:972-497-4995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84800133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered