P Praxis·MD
● Active Type 2 · Organization

Steven G McCullough And David W Holt Orthotics & Prosthetics, Llc

Prosthetic/Orthotic Supplier·Longview, TX· NPI 1184822793 · Enumerated 2007 · 18 years on NPI
Steven G McCullough And David W Holt Orthotics & Prosthetics, Llc is 1 of 741 prosthetic/orthotic supplier organizations in Texas.
NPI age
18 years
Enumerated 2007-07-05
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gardner
Coo
Last NPPES update
2020-03-19
Source: monthly bulk 2026-05

How this organization compares

Across 741 active prosthetic/orthotic supplier providers in Texas.

NPI age
18 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
422 N Green St
Longview, TX 756016458
📞 9032349300fax 9032348704
Mailing address
102 Woodmont Blvd Ste 120
Nashville, TN 372055249
📞 6158648790fax 6154545352

Authorized official

Bradford Gardner
Coo
📞 6158648783

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Prosthetic/Orthotic Supplier Primary
    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...
    TX license #101171 taxonomy 335E00000X

Identifiers

TypeValueNotes
05 (TX) 284080301
01 (TX) 517688 O&P
05 (TX) 284080303
01 6922550001 DMEPOS MEDICARE PTAN

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Custom Care Orthopedic Bracing and Prosthetics
    Type code 3 recorded 2019-10-24
  • Custom Care Orthopedic Bracing and Prosthetics
    Type code 3 recorded 2013-12-05

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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