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ROCKDALE BLACKHAWK LLC NPI 1972047801


NPI Information

NPI: 1972047801
Provider Name: ROCKDALE BLACKHAWK, LLC

Doing Business As: LITTLE RIVER HEALTHCARE SOUTHWEST ORTHOPEDIC GROUP

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
135 BUNTON CREEK ROAD
SUITE 302A
KYLE, TX
ZIP 78640
Phone: (512) 451-1969
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ROCKDALE BLACKHAWK, LLC is an orthopaedic surgery in Kyle, 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 1972047801. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Little River Healthcare Southwest Orthopedic Group.

The provider's business location address is:

135 BUNTON CREEK ROAD
SUITE 302A
KYLE, TX
ZIP 78640-701
Phone: (512) 451-1969

The provider's authorized official is Jeff Madison .
The authorized official title is Ceo and has the following contact phone number (512) 481-7060.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 12/12/2016.


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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