NPI | 1053855189 |
---|---|
Doing Business As | PRINCIPLE PAIN AND HEALTH |
Entity Type | Organization |
Authorized Contact | RONALD G KIMMEL Sole Member 817-897-7494 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2016-12-08 |
Last Update Date | 2016-12-08 |