Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Steven G McCullough and David W Holt Orthotics & Prosthetics LLC

Organization Prosthetic/Orthotic Supplier · NPI 1215978424

Steven G McCullough and David W Holt Orthotics & Prosthetics LLC is a Prosthetic/Orthotic Supplier in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1120 Medical Dr
Tyler, TX 75701-2109
Phone: (903) 592-5900
Fax: (903) 592-6683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 101171 (TX)

Record details

NPI number1215978424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradford Gardner — Coo · (615) 864-8783
Other names Custom Care Orthopedic Bracing And Prosthetics; Custom Care Orthopedic Bracing And Prosthetics
NPI enumeratedJune 9, 2006
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020
Mailing address102 Woodmont Blvd Ste 120, Nashville, TN 37205-5249

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