Rockdale Blackhhawk, LLC

NPI #1144679028 in Waco, Texas

Provider Information

NPI Number
1144679028
Entity Type
Organization
Organization Name
Rockdale Blackhhawk, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 10, 2016
Last Updated
Jun 10, 2016

Practice Location

Address
6600 FISH POND RD
Address 2
SUITE 202A
City
Waco
State
Texas
ZIP Code
76710-2581
Phone
(254) 265-7300

Authorized Official

Name
PEGGY BORGFELD
Title
COO
Phone
(512) 446-4500

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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