Provider Demographics
NPI:1780013425
Name:VANCE, CHERYL ANN (RT, RDMS, RVT)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:VANCE
Suffix:
Gender:F
Credentials:RT, RDMS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26006 SYRINX
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-6260
Mailing Address - Country:US
Mailing Address - Phone:210-831-5493
Mailing Address - Fax:
Practice Address - Street 1:26006 SYRINX
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-6260
Practice Address - Country:US
Practice Address - Phone:210-831-5493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography