Rockdale Blackhawk LLC
NPI #1073924932 in Georgetown, Texas
Provider Information
- NPI Number
- 1073924932
- Entity Type
- Organization
- Organization Name
- Rockdale Blackhawk LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 14, 2014
- Last Updated
- May 14, 2014
Practice Location
- Address
- 1512 LEANDER RD
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-8801
- Phone
- (512) 948-7611
Authorized Official
- Name
- JEFFREY P MADISON
- Title
- CEO
- Phone
- (512) 446-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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