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NPI Code Detail

MEDICARE: STONEBRIDGE HEALTH CENTER

MEDICARE: STONEBRIDGE HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency251J00000XTX
2332BP3500XParenteral & Enteral Nutrition Supplies (DME)332BP3500XTX

General Provider Information

NPI Number : 1073553392
Entity Type Code : Organization
Provider Name (Legal Business Name) : STONEBRIDGE HEALTH CENTER
Provider Business Mailing Address
First Line : 11127 CIRCLE DRIVE
Second Line :
City : AUSTIN
State : TX
Zip : 78736-7767
Country : US
Telephone Number : 512-288-8844
Fax Number : 512-288-5333
Provider Business Practice Location Address
First Line : 11127 CIRCLE DRIVE
Second Line :
City : AUSTIN
State : TX
Zip : 78736-7767
Country : US
Telephone Number : 512-288-8844
Fax Number : 512-288-5333
Authorized Official
Title or Position : VICE PRESIDENT
Name : DOUGLAS HOWERTON
Credential :
Telephone Number : 512-288-8844
Provider Enumeration Date : 06/07/2006
Last Update Date : 09/11/2025

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Directions to “STONEBRIDGE HEALTH CENTER ” Practice Location

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