Organization
SOUTH TEXAS PAIN AND NEUROCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD GARY KIMMEL FNP-C (SOLE MEMBER)
(817) 897-7494
Entity
Organization
Contact information
Practice address
4639 CORONA DR STE 45, CORPUS CHRISTI, TX 78411-5423
(361) 233-4100
(361) 233-8191
Mailing address
4929 REMINGTON FALLS DR, FORT WORTH, TX 76244-2296
(817) 888-6688
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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