Organization
CUSTOM CREATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN GRANT (OWNER)
(469) 897-5040
Entity
Organization
Contact information
Practice address
5701 PRESIDENT GEORGE BUSH HWY STE 104, ROWLETT, TX 75089-3691
(469) 897-5040
Mailing address
3090 N GOLIAD ST STE 102-817, ROCKWALL, TX 75087-7007
(469) 897-5040
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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