Organization
BLACKHAWK PHYSICIAN GROUP
Active
Parent organization
BLACKHAWK HEALTHCARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLACKHAWK HEALTHCARE, LLC
Authorized official
TODD BIEDERMAN (PRESIDENT/CEO)
(512) 681-3440
Entity
Organization
Contact information
Practice address
1700 BRAZOS AVE, ROCKDALE, TX 76567-2517
(512) 446-4502
Mailing address
6500 RIVER PLACE BLVD, BUILDING 1, SUITE 350, AUSTIN, TX 78730-1119
(512) 681-3440
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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