# BALCH INTERVENTIONAL PAIN AND WELLNESS CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639410954
- **Authorized official:** DR. ROBERT JUDSON BALCH III D.O. (PHYSICIAN)
- **Authorized official phone:** (817) 984-6210

## Contact information

- **Practice address:** 429 S BALLINGER ST, FORT WORTH, TX 76104-1008
- **Practice address phone:** (817) 984-6210
- **Practice address fax:** (817) 984-6216
- **Mailing address:** 429 S BALLINGER ST, FORT WORTH, TX 76104-1008
- **Mailing address phone:** (817) 984-6210
- **Mailing address fax:** (817) 984-6216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/12/2013
- **Last updated:** 04/23/2026