Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEVEN GLENN MCCULLOUGH, C.O.L.O.
Active Sole ProprietorMR. STEVEN GLENN MCCULLOUGH, C.O.L.O. is a Prosthetic/Orthotic Supplier healthcare provider located in LONGVIEW, Texas. NPI 1629379490 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · LONGVIEW, TX
Registration Details
- NPI Number
- 1629379490
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2010 (15.78127504465 yrs)
- Last Updated
- Dec 5, 2013
- License
-
101239 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
422 N GREEN STLONGVIEW, TX, 756016458Browse TX providers · Browse ZIP 75601
- Phone
- 9032349300
- Fax
- 9032348704
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Other Prosthetic/Orthotic Supplier Providers in LONGVIEW, TX
| Name | Credential | NPI |
|---|---|---|
| MR. EDGAR DE LA FUENTE | LICENSED PROSTHETIST | 1750323713 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.