Rockdale Blackhawk, LLC

NPI #1285911123 in Rockdale, Texas

Provider Information

NPI Number
1285911123
Entity Type
Organization
Organization Name
Rockdale Blackhawk, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ROCKDALE BLACKHAWK, LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Nov 7, 2011
Last Updated
Apr 9, 2015

Practice Location

Address
1700 BRAZOS
Address 2
SUITE A, B AND C
State
Texas
ZIP Code
76567
Phone
(512) 446-4500

Authorized Official

Name
JEFFREY P MADISON
Title
CEO
Phone
(512) 446-4500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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