Organization
ROCKDALE BLACKHAWK, LLC
Active
Other names
Richards Memorial Imaging Bay Colony
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN OWENS (OWNER)
(512) 445-4502
Entity
Organization
Contact information
Practice address
2401 FM 646 RD W, SUITE B, DICKINSON, TX 77539-3249
(512) 445-4502
Mailing address
2401 FM 646 RD W, SUITE B, DICKINSON, TX 77539-3249
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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