Steven G McCullough
Steven G McCullough is a Prosthetic/Orthotic Supplier in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2008.
- Licensed in
- TX
- In the registry since
- 2008
Practice location Address checks out
1120 Medical DrTyler, TX 75701-2109
Phone: (903) 592-5900
Fax: (903) 592-6683
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence 101171 (TX) |
|---|
Record details
| NPI number | 1932363751 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steven McCullough — Owner · (903) 592-5900 |
| Other names | Custom Care Orthopedic Bracing Llc |
| NPI enumerated | July 10, 2008 |
| Last updated in NPPES | July 10, 2008 |
| Mailing address | 1110 Medical Dr, Tyler, TX 75701-2109 |
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Steven G McCullough and David W Holt Orthotics & Prosthetics LLC
1120 Medical Dr, Tyler, TX 75701-2109 · (903) 592-5900