Individual provider · NPI-1

Dr. Emmet Hezekiah Balch III, MD

Radiology, Diagnostic Radiology · Hurst, TX

NPI number1568464147
StatusActive
Last updated in NPPESAug 18, 2016

Details

NPI
1568464147
Entity type
Individual (NPI-1)
Name
Dr. Emmet Hezekiah Balch III
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 12, 2005
Last updated
Aug 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyF9163TXYes

Practice location

1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109

Phone 817-336-4638 · Fax 817-336-1331

Mailing address

1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109

Phone 817-336-4638 · Fax 817-336-1331

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