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Organization
ROCKDALE BLACKHAWK, LLC
Active
Organization
ROCKDALE BLACKHAWK, LLC
Active
Other names
Little River Healthcare Transitions Geriatrics Group
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY P MADISON (CEO)
(512) 446-4500
Entity
Organization
Contact information
Practice address
2200 PARK BEND DR, BLDG 2-301, AUSTIN, TX 78758-5387
(512) 351-3919
Mailing address
1 CHISHOLM TRL, SUITE 400, ROUND ROCK, TX 78681-5008
(512) 481-7060
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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