institution
Steven G Mccullough And David W Holt Orthotics & Prosthetics Llc
Prosthetic/Orthotic Supplier in Tyler, Texas
NPI 1215978424

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 Tyler, TX. The NPI Number for Steven G Mccullough And David W Holt Orthotics & Prosthetics Llc is 1215978424 and holds a License No. 101171 (Texas).

The current practice location address for Steven G Mccullough And David W Holt Orthotics & Prosthetics Llc is 1120 Medical Dr, Tyler, TX and can be reached out via phone at 903-592-5900 and via fax at 903-592-6683. You can also correspond with Steven G Mccullough And David W Holt Orthotics & Prosthetics Llc through the mailing address at 102 WOODMONT BLVD STE 120, NASHVILLE, TN - 37205-5249 (mailing address contact number: 615-864-8790).

Location: 1120 Medical Dr, Tyler, TX, 37205-5249
institution
Provider Profile Details
NPI Number
1215978424
Provider Name
Steven G Mccullough And David W Holt Orthotics & Prosthetics Llc
Credential
Provider Entity Type
Organization
Address
1120 Medical Dr, Tyler, TX, 37205-5249
Phone Number
903-592-5900
Fax Number
903-592-6683
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
519266 01 BCBS
087070101 05 TX
institution
Provider Business Practice Location Address Details
Address
1120 Medical Dr
City
State
Zip
75701-2109
Phone Number
903-592-5900
Fax Number
903-592-6683
person
Provider Business Mailing Address Details
Address
102 Woodmont Blvd Ste 120
City
State
Zip
37205-5249
Phone Number
615-864-8790
Fax Number
615-454-5352
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
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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