Organization
CORPUS PAIN AND HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD GARY KIMMEL DC (SOLE MEMBER)
(817) 897-7494
Entity
Organization
Contact information
Practice address
4639 CORONA DR STE 45, CORPUS CHRISTI, TX 78411-5423
(361) 226-4600
(361) 266-4603
Mailing address
4929 REMINGTON FALLS DR, FORT WORTH, TX 76244-2296
(817) 897-7494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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