MR. Steven Glenn Mccullough, C.O.L.O.

NPI #1629379490 in Longview, Texas

Provider Information

NPI Number
1629379490
Entity Type
Individual
Name
MR. Steven Glenn Mccullough, C.O.L.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Credential
C.O.L.O.
Enumeration Date
Nov 10, 2010
Last Updated
Dec 5, 2013

Practice Location

Address
422 N GREEN ST
State
Texas
ZIP Code
75601-6458
Phone
(903) 234-9300

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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Provider Name
Prosthetic-Orthotic Associates of East Texas, Inc.

Part of Prosthetic-Orthotic Associates of East Texas, Inc.

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