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Steven G Mccullough And David W Holt Orthotics & Prosthetics, Llc
Prosthetic/Orthotic Supplier in Longview, Texas
NPI 1184822793

Steven G Mccullough And David W Holt Orthotics & Prosthetics, Llc is a Prosthetic/Orthotic Supplier based in Nashville, TX. Steven G Mccullough And David W Holt Orthotics & Prosthetics, Llc practices in Longview, TX. The NPI Number for Steven G Mccullough And David W Holt Orthotics & Prosthetics, Llc is 1184822793 and holds a License No. 101171 (Texas).

The current practice location address for Steven G Mccullough And David W Holt Orthotics & Prosthetics, Llc is 422 N Green St, Longview, TX and can be reached out via phone at 903-234-9300 and via fax at 903-234-8704.

Location: 422 N Green St, Longview, TX, 37205-5249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184822793
Provider Name
Steven G Mccullough And David W Holt Orthotics & Prosthetics, Llc
Credential
Provider Entity Type
Organization
Address
422 N Green St, Longview, TX, 37205-5249
Phone Number
903-234-9300
Fax Number
903-234-8704
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
284080301 05 TX
517688 01 TX O&P
284080303 05 TX
6922550001 01 DMEPOS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
422 N Green St
City
Longview
State
Texas
Zip
75601-6458
Phone Number
903-234-9300
Fax Number
903-234-8704
person
Provider Business Mailing Address Details
Address
422 N Green St
City
Longview
State
Texas
Zip
75601-6458
Phone Number
903-234-9300
Fax Number
903-234-8704
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
101171 (Texas)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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