Rockdale Blackhawk LLC

NPI #1427353770 in Bastrop, Texas

Provider Information

NPI Number
1427353770
Entity Type
Organization
Organization Name
Rockdale Blackhawk LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Jan 18, 2011
Last Updated
May 14, 2015

Practice Location

Address
3101 HIGHWAY 71 E
Address 2
SUITE 108
State
Texas
ZIP Code
78602-5156
Phone
(512) 332-0222

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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