Individual
MS. CHERYL GAYE CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LO CO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10018181
AMERIGROUP MANAGED CARE
TX
05
—
164392601
—
TX
01
—
21919
CHOICE 1 UTMB HEALTHCARE
TX
01
—
531812
BLUE CROSS BLUE SHIELD
TX
01
—
710888709
HUMANA CHOICE CARE
TX
Enumeration date
04/07/2006
Last updated
08/27/2025
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