Organization Name: | CCMD CONSULTING LLC |
NPI Number: | 1003101163 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CANDICE AGUIRRE (MSO) |
Mailing Address: | 8900 Shoal Creek Blvd Bldg 300b Austin |
State: | TX US |
Postal Code: | 78757 |
Phone Number: | 5124076856 |
Fax Number: | 5125242251 |
NPI Enumeration Date: | 06/16/2011 |
NPI Last Update Date: | 06/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1000505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |