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Individual

MS. CHERYL GAYE CHANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LO CO

Contact information

Practice address
3195 CALDER ST, SUITE 200, BEAUMONT, TX 77702-1410
(409) 833-8600
(409) 833-8605
Mailing address
3195 CALDER ST, SUITE 200, BEAUMONT, TX 77702-1410
(409) 833-8600
(409) 833-8605

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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