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CUSTOM CARE ORTHOPEDIC BRACING LLC
NPI 1932363751
Prosthetic/Orthotic Supplier in Tyler, TX

Active since July 10, 2008
1120 MEDICAL DR, TYLER, TX 75701(903) 592-5900(903) 592-6683 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Custom Care Orthopedic Bracing Llc NPPES

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

CUSTOM CARE ORTHOPEDIC BRACING LLC (NPI 1932363751) is a healthcare organization registered as a prosthetic/orthotic supplier in Tyler, Texas and active in the NPI registry since July 2008. The organization lists Steven Glenn Mccullough, Owner, as its authorized official.

NPPES Registry Identity

NPI1932363751
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSTEVEN G MCCULLOUGH
Location Address1120 MEDICAL DRTyler, TX 75701-2109
Mailing Address1110 Medical DrTyler, TX 75701-2109 · (903) 592-5900 · Fax (903) 592-6683
Phone(903) 592-5900
Fax(903) 592-6683
Organization SubpartNo
Authorized OfficialSteven Glenn McculloughOwner · (903) 592-5900
Enumeration DateJuly 10, 2008
✔ NPI 1932363751 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.
1120 MEDICAL DR, Tyler, TX 75701
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Other Names 1

Doing Business AsCustom Care Orthopedic Bracing Llc

Other Identifiers 2

Medicare NSC5495030001TX
Medicaid087070101TX

Other Providers at the Same Location NPPES

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

STEVEN G MCCULLOUGH AND DAVID W HOLT ORTHOTICS & PROSTHETICS LLC
Prosthetic/Orthotic Supplier
1120 MEDICAL DR
TYLER, TX 75701
Smith County (903) 592-5900

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's NPI number?

The NPI number for Steven G Mccullough is 1932363751. It was assigned to this organization in the NPPES registry on July 10, 2008. The provider is doing business as Custom Care Orthopedic Bracing LLC.

Where is Steven G Mccullough located?

Steven G Mccullough is located at 1120 Medical Dr, Tyler, TX 75701. The listed phone number is (903) 592-5900.

What is Steven G 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 G Mccullough was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.