Organization
ROCKDALE BLACKHAWK LLC
Active
Other names
RICHARDS MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY P MADISON (CEO)
(512) 446-4500
Entity
Organization
Contact information
Practice address
3101 HIGHWAY 71 E, SUITE 101, BASTROP, TX 78602-5156
(512) 332-0222
(512) 332-0229
Mailing address
PO BOX 1010, ROCKDALE, TX 76567-1010
(512) 446-4500
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2011
Last updated
09/29/2011
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