Organization
ROCKDALE BLACKHAWK LLC
Active
Other names
Little River Healthcare King's Daughters Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY P MADISON (CEO)
(512) 446-4500
Entity
Organization
Contact information
Practice address
1905 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 298-2400
Mailing address
1905 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 298-2400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
05/14/2015
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