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
Fax: (903) 234-8704
Website:
Authorized official contact:
Name: Gardner, Bradford

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184822793 NPPES
Texas MEDICAID 284080301
Texas Other 517688
Texas MEDICAID 284080303
Texas Other 6922550001

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