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

Mr. Steven Glenn McCullough, COLO

Individual provider Prosthetic/Orthotic Supplier · NPI 1629379490

Mr. Steven Glenn McCullough, COLO is a Prosthetic/Orthotic Supplier in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
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Practice location Address checks out

422 N Green St
Longview, TX 75601-6458
Phone: (903) 234-9300
Fax: (903) 234-8704
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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 101239 (TX)

Record details

NPI number1629379490
Entity typeIndividual (Type 1)
GenderMale
Credentials COLO
Sole proprietorYes
NPI enumeratedNovember 10, 2010
Last updated in NPPESDecember 5, 2013

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