CUSTOM CARE ORTHOPEDIC BRACING AND PROSTHETICS
NPI 1184822793
Prosthetic/Orthotic Supplier in Longview, TX

Q: What is Steven G Mccullough And David W Holt Orthotics & Prosthetics, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since July 05, 2007

422 N GREEN ST, LONGVIEW, TX 75601(903) 234-9300(903) 234-8704 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 19, 2020, Oct 24, 2019, Feb 3, 2017 (3 updates tracked since 2017).

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About Custom Care Orthopedic Bracing And Prosthetics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOM CARE ORTHOPEDIC BRACING AND PROSTHETICS (NPI 1184822793) is a healthcare organization registered as a prosthetic/orthotic supplier in Longview, Texas and active in the NPI registry since July 2007. The organization lists Bradford Gardner, Coo, as its authorized official.

NPPES Registry Identity

NPI1184822793

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameSTEVEN G MCCULLOUGH AND DAVID W HOLT ORTHOTICS & PROSTHETICS, LLC

Location Address422 N GREEN STLongview, TX 75601-6458

Mailing Address102 Woodmont Blvd Ste 120Nashville, TN 37205-5249 · (615) 864-8790 · Fax (615) 454-5352

Phone(903) 234-9300

Fax(903) 234-8704

Organization SubpartNo

Authorized OfficialBradford GardnerCoo · (615) 864-8783

Enumeration DateJuly 5, 2007

Last NPPES UpdateMarch 19, 20203 updates tracked since enumeration

NPPES CertifiedMarch 19, 2020

✔ NPI 1184822793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in TX · 101171

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.

422 N GREEN ST, Longview, TX 75601

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Other Names 1

Doing Business AsCustom Care Orthopedic Bracing And Prosthetics

Other Identifiers 4

Medicaid284080301TX

Other517688TX · O&p

Other6922550001Dmepos Medicare Ptan

Medicaid284080303TX

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN GLENN MCCULLOUGH C.O.L.O.

Prosthetic/Orthotic Supplier

422 N GREEN ST
LONGVIEW, TX 75601

Gregg County (903) 234-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven G Mccullough And David W Holt Orthotics & Prosthetics, LLC's NPI number?

The NPI number for Steven G Mccullough And David W Holt Orthotics & Prosthetics, LLC is 1184822793. It was assigned to this organization in the NPPES registry on July 5, 2007. The provider is doing business as Custom Care Orthopedic Bracing And Prosthetics.

Where is Steven G Mccullough And David W Holt Orthotics & Prosthetics, LLC located?

Steven G Mccullough And David W Holt Orthotics & Prosthetics, LLC is located at 422 N Green St, Longview, TX 75601. The listed phone number is (903) 234-9300.

What is Steven G Mccullough And David W Holt Orthotics & Prosthetics, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Steven G Mccullough And David W Holt Orthotics & Prosthetics, LLC was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.