Individual
MR. DALE STUART LEE SHEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPO CO
Contact information
Practice address
138 1ST ST W, HUMBLE, TX 77338-3619
(281) 580-8228
(281) 580-8229
Mailing address
PO BOX 90939, HOUSTON, TX 77290-0939
(281) 580-8228
(281) 580-8229
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
001
TX
222Z00000X
Orthotist
1
TX
224P00000X
Prosthetist
Primary
1
TX
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
1
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744P3200X
ORTHOTICS
TX
Enumeration date
02/13/2008
Last updated
08/25/2020
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