# ROCKDALE BLACKHAWK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Little River Healthcare Transitions Geriatrics Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538610274
- **Authorized official:** JEFFREY P MADISON (CEO)
- **Authorized official phone:** (512) 446-4500

## Contact information

- **Practice address:** 2200 PARK BEND DR, BLDG 2-301, AUSTIN, TX 78758-5387
- **Practice address phone:** (512) 351-3919
- **Mailing address:** 1 CHISHOLM TRL, SUITE 400, ROUND ROCK, TX 78681-5008
- **Mailing address phone:** (512) 481-7060

## Taxonomy

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

## Other

- **Enumeration date:** 10/18/2016
- **Last updated:** 10/18/2016
