DEHAVEN DIAGNOSTICS, LLC

FORT WORTH, TX
NPI1124369459
Entity TypeOrganization
Authorized ContactROBERT JUDSON BALCH
Physician
817-984-6210
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Enumeration Date2013-03-12
Last Update Date2013-03-12
Business Address
DEHAVEN DIAGNOSTICS, LLC
6116 OAKBEND TRL SUITE 106
FORT WORTH, TX 76132-3925
Phone number: 817-984-6210
Mailing Address
DEHAVEN DIAGNOSTICS, LLC
6116 OAKBEND TRL SUITE 106
FORT WORTH, TX 76132-3925
Phone number: 817-984-6210
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