# CCMD CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003101163
- **Authorized official:** CANDICE AGUIRRE (MSO)
- **Authorized official phone:** (512) 408-6856

## Contact information

- **Practice address:** 8900 SHOAL CREEK BLVD BLDG 300B, AUSTIN, TX 78757
- **Practice address phone:** (512) 407-6856
- **Practice address fax:** (512) 524-2251
- **Mailing address:** 8900 SHOAL CREEK BLVD BLDG 300B, AUSTIN, TX 78757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1000505 | TX | Yes |

## Other

- **Enumeration date:** 06/16/2011
- **Last updated:** 06/16/2011
