Rockdale Blackhawk LLC

NPI #1265648927 in Rockdale, Texas

Provider Information

NPI Number
1265648927
Entity Type
Organization
Organization Name
Rockdale Blackhawk LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 16, 2007
Last Updated
Feb 8, 2008

Practice Location

Address
1700 BRAZOS AVE
State
Texas
ZIP Code
76567-2517
Phone
(512) 445-4500

Authorized Official

Name
SHANA DAVENPORT
Title
SUPERVISOR, INSURANCE CREDENTIALING
Phone
(512) 446-4500

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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