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ROCKDALE BLACKHAWKLLC NPI 1346791027


NPI Information

NPI: 1346791027
Provider Name: ROCKDALE BLACKHAWK,LLC

Doing Business As: LITTLE RIVER HEALTHCARE KILLEEN CLINIC

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
401 W JASPER DR
KILLEEN, TX
ZIP 76542
Phone: (254) 519-1313
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ROCKDALE BLACKHAWK,LLC is an orthopaedic surgery in Killeen, TX. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ROCKDALE BLACKHAWK,LLC NPI is 1346791027. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Little River Healthcare Killeen Clinic.

The provider's business location address is:

401 W JASPER DR
KILLEEN, TX
ZIP 76542-323
Phone: (254) 519-1313

The provider's authorized official is Jeffrey P Madison .
The authorized official title is Ceo and has the following contact phone number (512) 446-4500.

The enumeration date for this NPI number is 10/18/2016 and was last updated on 10/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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