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Rockdale Blackhawk LLC

Clinic/Center, Radiology in Cedar Park, TX. Organization (NPI-2).

NPI number1245514975
StatusActive
Last updated in NPPESSep 29, 2011

Details

NPI
1245514975
Entity type
Organization (NPI-2)
Legal business name
Rockdale Blackhawk LLC
Organization subpart
No
Enumeration date
Sep 29, 2011
Last updated
Sep 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0200X Clinic/Center, Radiology––Yes

Other names

  • Richards Memorial Hospital (Doing Business As)

Practice location

715 Discovery Blvd
Suite 102
Cedar Park, TX 78613-2287

Phone 512-259-8222 · Fax 512-259-8270

Mailing address

715 Discovery Blvd
Suite 102
Cedar Park, TX 78613-2287

Phone 512-259-8222 · Fax 512-259-8270

Authorized official

Jeffery P Madison
Ceo
5124464500

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