Organization · Type 2 NPI

Steven G McCullough

Prosthetic/Orthotic Supplier · Tyler, TX

NPI number 1932363751 Active

Practice location

1120 Medical Dr
Tyler, TX 75701-2109

Call (903) 592-5900 Map

Fax (903) 592-6683

Mailing address

1110 Medical Dr
Tyler, TX 75701-2109

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X101171 (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.

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About NPI 1932363751

Steven G McCullough's National Provider Identifier is 1932363751, issued on Jul 10, 2008. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Tyler, TX. The record was last updated on Jul 10, 2008.