| NPI | 1639410954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JUDSON BALCH Physician 817-984-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2018-09-20 |