| 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 |