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
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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