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Organization
ROCKDALE BLACKHAWK, LLC
Active
Organization
ROCKDALE BLACKHAWK, LLC
Active
Other names
Richards Memorial Imaging Bay Colony
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN OWENS (OWNER)
(512) 445-4502
Entity
Organization
Contact information
Practice address
2401 FM 646 RD W, SUITE B, DICKINSON, TX 77539-3249
(512) 445-4502
Mailing address
2401 FM 646 RD W, SUITE B, DICKINSON, TX 77539-3249
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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