# ROCKDALE BLACKHAWK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Little River Healthcare Westlake Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033483086
- **Authorized official:** JEFFREY P MADISON (CEO)
- **Authorized official phone:** (512) 446-4500

## Contact information

- **Practice address:** 5656 BEE CAVE RD, SUITE M-300, WEST LAKE HILLS, TX 78746-5280
- **Practice address phone:** (512) 807-3270
- **Practice address fax:** (512) 807-3328
- **Mailing address:** PO BOX 1010, ROCKDALE, TX 76567-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2012
- **Last updated:** 05/14/2015