Custom Care Orthopedic Bracing And Prosthetics
LBN: Steven G Mccullough And David W Holt Orthotics & Prosthetics, Llc
Custom Care Orthopedic Bracing And Prosthetics is an health care organization with primary practice located at 422 N Green St , Longview TX 75601-6458. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty.
Steven G Mccullough And David W Holt Orthotics & Prosthetics, Llc can be contacted via phone (903) 234-9300, or through Gardner, Bradford via phone (615) 864-8783.
Contact Information
Primary practice address
422 N Green St
Longview TX 75601-6458
Phone: (903) 234-9300
Fax: (903) 234-8704
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 101171 | Texas |
Profile Details
NPI number | 1184822793 |
---|---|
LBN Legal business name | Steven G Mccullough And David W Holt Orthotics & Prosthetics, Llc |
DBA Doing business as | Custom Care Orthopedic Bracing And Prosthetics |
Authorized official | Gardner, Bradford |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 5th, 2007 |
Last updated | Mar 19th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184822793 | NPPES |
Texas | MEDICAID | 284080301 | |
Texas | Other | 517688 | |
Texas | MEDICAID | 284080303 | |
Texas | Other | 6922550001 |
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