MR. STEVEN GLENN MCCULLOUGH C.O.L.O.
NPI 1629379490
Prosthetic/Orthotic Supplier in Longview, TX

Active since November 10, 2010
422 N GREEN ST, LONGVIEW, TX 75601(903) 234-9300(903) 234-8704 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Steven Glenn Mccullough C.o.l.o. NPPES

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

MR. STEVEN GLENN MCCULLOUGH C.O.L.O. (NPI 1629379490) is an individual prosthetic/orthotic supplier provider in Longview, Texas, licensed in Texas (101239) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1629379490
Entity TypeIndividualMale
Primary Taxonomy335E00000X
Provider Legal NameMR. STEVEN GLENN MCCULLOUGHCredential: C.O.L.O.
Location Address422 N GREEN STLongview, TX 75601-6458
Mailing Address422 N Green StLongview, TX 75601-6458 · (903) 234-9300 · Fax (903) 234-8704
Fax(903) 234-8704
Sole ProprietorYes
Enumeration DateNovember 10, 2010
Last NPPES UpdateDecember 5, 2013
NPI 1629379490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in TX · 101239
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

Other Providers at the Same Location NPPES

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

Prosthetic/Orthotic Supplier
422 N GREEN ST
LONGVIEW, TX 75601

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 Mccullough's NPI number?

The NPI number for Steven Mccullough is 1629379490. It was assigned to this individual provider in the NPPES registry on November 10, 2010.

Where is Steven Mccullough located?

Steven Mccullough practices at 422 N Green St, Longview, TX 75601. The listed phone number is (903) 234-9300.

What is Steven Mccullough'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 Mccullough was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.