Individual
WALTER MAURIECE CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO LPO
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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