Custom Care Orthopedic Bracing Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Tyler, Texas. It is situated at 1120 Medical Dr, Tyler and its contact number is 903-592-5900. The authorized person of Custom Care Orthopedic Bracing Llc is Mr. Steven Glenn Mccullough
who is Owner of the store and his/her contact number is 903-592-5900. Other organizations associated with this store are Steven G Mccullough And David W Holt Orthotics & Prosthetics Llc, Steven G Mccullough, Primary license number for Custom Care Orthopedic Bracing Llc is 101171 in Texas. Custom Care Orthopedic Bracing Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Custom Care Orthopedic Bracing Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Steven Glenn Mccullough
Position:
Owner
Contact Number:
903-592-5900
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Custom Care Orthopedic Bracing Llc center are as mentioned below.
NPI Number:
1932363751
NPI Enumeration Date:
10 Jul, 2008
NPI Last Update On:
10 Jul, 2008
Other Associated Organizations:
Other organizations which are associated with this store are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Care Orthopedic Bracing Llc are as mentioned below.
Specialization
License Number
State
Status
101171
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
087070101
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Custom Care Orthopedic Bracing Llc 1110 Medical Dr, Tyler, Texas
Zip:
75701-2109
Phone Number:
903-592-5900
Fax Number:
903-592-6683
Patients can reach Custom Care Orthopedic Bracing Llc at 1120 Medical Dr, Tyler, Texas or can call to book an appointment on 903-592-5900. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.