Provider Demographics
NPI:1023507845
Name:CMM MEDICAL MANAGEMENT, LLC
Entity type:Organization
Organization Name:CMM MEDICAL MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:ORR
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:469-212-6326
Mailing Address - Street 1:1602 PALISADES DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-5043
Mailing Address - Country:US
Mailing Address - Phone:469-212-6326
Mailing Address - Fax:866-256-8173
Practice Address - Street 1:1602 PALISADES DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-5043
Practice Address - Country:US
Practice Address - Phone:469-212-6326
Practice Address - Fax:866-256-8173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty