NPI 1124369459

Dehaven Diagnostics, LLC

Organisation Physical Medicine & Rehabilitation Physician Fort Worth, TX

Practice location

Address: 6116 Oakbend Trl Suite 106, Fort Worth, TX 76132-3925
Phone: (817) 984-6210
Fax: (817) 984-6216

Authorised official

Name: Robert Judson Balch
Title: Physician
Phone: (817) 984-6210

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Texas →

Registry record

NPI: 1124369459
Entity type: Organization
NPI issued: 12 Mar 2013
Record last updated: 12 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.