Rockdale Blackhawk LLC

NPI #1295015055 in Bastrop, Texas

Provider Information

NPI Number
1295015055
Entity Type
Organization
Organization Name
Rockdale Blackhawk LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Aug 25, 2011
Last Updated
Sep 29, 2011

Practice Location

Address
3101 HIGHWAY 71 E
Address 2
SUITE 101
State
Texas
ZIP Code
78602-5156
Phone
(512) 332-0222

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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