Rockdale Blackhawk LLC
NPI #1811339831 in Georgetown, Texas
Provider Information
- NPI Number
- 1811339831
- Entity Type
- Organization
- Organization Name
- Rockdale Blackhawk LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 18, 2013
- Last Updated
- Jul 18, 2013
Practice Location
- Address
- 1904 RAILROAD ST
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-7718
- Phone
- (512) 863-4563
Authorized Official
- Name
- JEFFREY P MADISON
- Title
- CEO
- Phone
- (512) 446-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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