Organization
ROCKDALE BLACKHAWK,LLC
Active
Other names
Little River Healthcare Killeen Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY P MADISON (CEO)
(512) 446-4500
Entity
Organization
Contact information
Practice address
401 W JASPER DR, KILLEEN, TX 76542-1323
(254) 519-1313
Mailing address
1 CHISHOLM TRL, SUITE 400, ROUND ROCK, TX 78681-5008
(512) 481-7060
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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