Organization
STEVEN G MCCULLOUGH
Active
Other names
Custom Care Orthopedic Bracing LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN GLENN MCCULLOUGH CERTIFIED ORTHOTIST (OWNER)
(903) 592-5900
Entity
Organization
Contact information
Practice address
1120 MEDICAL DR, TYLER, TX 75701-2109
(903) 592-5900
(903) 592-6683
Mailing address
1110 MEDICAL DR, TYLER, TX 75701-2109
(903) 592-5900
(903) 592-6683
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087070101
—
TX
Enumeration date
07/10/2008
Last updated
07/10/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us