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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