Organization
ROCKDALE BLACKHAWK LLC
Active
Other names
Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN OWENS (PRESIDENT)
(512) 446-4500
Entity
Organization
Contact information
Practice address
1700 BRAZOS AVE, ROCKDALE, TX 76567-2517
(512) 446-4500
Mailing address
PO BOX 1010, ROCKDALE, TX 76567-1010
(512) 446-4500
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
01/26/2011
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