Organization
ROCKDALE BLACKHAWK LLC
Active
Other names
RICHARDS MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY P MADISON (CEO)
(512) 446-4500
Entity
Organization
Contact information
Practice address
715 DISCOVERY BLVD, SUITE 102, CEDAR PARK, TX 78613-2287
(512) 259-8222
(512) 259-8270
Mailing address
715 DISCOVERY BLVD, SUITE 102, CEDAR PARK, TX 78613-2287
(512) 259-8222
(512) 259-8270
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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