Organization
BLUESTONE HEALTHCARE SERVICES, PLLC
Active
Organization
BLUESTONE HEALTHCARE SERVICES, PLLC
Active
Other names
Bluestone Physical Therapy.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY CHUKWUDI EBEM PT (OWNER/PRESIDENT)
(512) 472-2020
Entity
Organization
Contact information
Practice address
13279 POND SPRINGS RD, UNIT 2, AUSTIN, TX 78729-7161
(512) 472-2020
(512) 472-2021
Mailing address
13279 POND SPRINGS RD, UNIT 2, AUSTIN, TX 78729-7161
(512) 472-2020
(512) 472-2021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1166630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193315201
—
TX
Enumeration date
08/25/2008
Last updated
11/15/2012
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