Individual provider · Type 1 NPI
Steven Glenn McCullough, C.O.L.O.
Prosthetic/Orthotic Supplier · Longview, TX
Practice location
422 N Green St
Longview, TX 75601-6458
Fax (903) 234-8704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 101239 (TX) |
Prosthetic/Orthotic Supplier: 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.
Another provider at this address
Other prosthetic/orthotic supplier providers in Longview
About NPI 1629379490
Steven Glenn McCullough, C.O.L.O.'s National Provider Identifier is 1629379490, issued on Nov 10, 2010. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Longview, TX. The record was last updated on Dec 5, 2013.