Organization
ALAUAN LLC
Active
Other names
Principle Pain and Health
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G KIMMEL (SOLE MEMBER)
(817) 897-7494
Entity
Organization
Contact information
Practice address
5573 SEABURY DR, FORT WORTH, TX 76137-5393
(817) 897-7494
(817) 841-1919
Mailing address
5573 SEABURY DR, FORT WORTH, TX 76137-5393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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