Individual
WALTER MAURIECE CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO LPO
Contact information
Practice address
3901 MONTANA AVE STE C, EL PASO, TX 79903-4507
(915) 566-3440
(915) 566-1485
Mailing address
8630 HICKORY DR, ANTHONY, TX 79821-9275
(915) 474-7216
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
16
TX
222Z00000X
Orthotist
Primary
101161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16
TEXAS BOARD OF O&P
TX
05
—
178724401
—
TX
Enumeration date
05/16/2007
Last updated
02/02/2012
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