P Praxis·MD
● Active Type 2 · Organization

Rockdale Blackhawk, Llc

Clinic/Center·Hearne, TX· NPI 1982894408 · Enumerated 2007 · 18 years on NPI
Rockdale Blackhawk, Llc is 1 of 1466 clinic/center organizations in Texas.
NPI age
18 years
Enumerated 2007-07-31
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davenport
Insurance Credentialing Supervisor
Last NPPES update
2008-02-08
Source: monthly bulk 2026-05

How this organization compares

Across 1466 active clinic/center providers in Texas.

NPI age
18 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
104 S Magnolia St
Hearne, TX 778592565
📞 9792800022fax 9792800023
Mailing address
Po Box 1010
Rockdale, TX 765671010
📞 5124464500fax 5124462063

Authorized official

Shana Davenport
Insurance Credentialing Supervisor
📞 5124464500

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QP2300X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Little River Medical Clinic - Hearne
    Type code 3 recorded 2007-07-31

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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