NPI 1215978424

Steven G McCullough and David W Holt Orthotics & Prosthetics LLC

Organisation Prosthetic/Orthotic Supplier Tyler, TX

Practice location

Address: 1120 Medical Dr, Tyler, TX 75701-2109
Phone: (903) 592-5900
Fax: (903) 592-6683
Mailing address: 102 Woodmont Blvd STE 120, Nashville, TN 37205-5249

Authorised official

Name: Bradford Gardner
Title: Coo
Phone: (615) 864-8783

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 101171 (TX)

Other Prosthetic/Orthotic Supplier providers in Texas →

Registry record

NPI: 1215978424
Entity type: Organization
NPI issued: 9 Jun 2006
Record last updated: 7 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.