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Rockdale Blackhawk Llc
Rural Health Clinic/Center in Rockdale, Texas
NPI 1023234978

Rockdale Blackhawk Llc is a Rural Health Clinic/Center based in Rockdale, TX and is specialized in Rural Health. Rockdale Blackhawk Llc practices in Rockdale, TX. The NPI Number for Rockdale Blackhawk Llc is 1023234978 and holds a License No. 000369 (Texas).

The current practice location address for Rockdale Blackhawk Llc is 602 N Main St, Rockdale, TX and can be reached out via phone at 512-446-4555 and via fax at 512-446-4533.

Location: 602 N Main St, Rockdale, TX, 76567-1010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023234978
Provider Name
Rockdale Blackhawk Llc
Credential
Provider Entity Type
Organization
Address
602 N Main St, Rockdale, TX, 76567-1010
Phone Number
512-446-4555
Fax Number
512-446-4533
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00X082 01 TX MEDICARE GROUP
186695601 05 TX
institution
Provider Business Practice Location Address Details
Address
602 N Main St
City
Rockdale
State
Texas
Zip
76567-2323
Phone Number
512-446-4555
Fax Number
512-446-4533
person
Provider Business Mailing Address Details
Address
602 N Main St
City
Rockdale
State
Texas
Zip
76567-2323
Phone Number
512-446-4555
Fax Number
512-446-4533
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
000369 (Texas)
Definition
Definition to come...
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