South Texas Pain and Neurocare PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SOUTH TEXAS PAIN AND NEUROCARE PLLC

Practice address

4639 Corona Dr Ste 45
Corpus Christi, TX 78411-5423

Phone

(361) 233-4100

Fax

(361) 233-8191

NPI assigned

Sep 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ronald Gary Kimmel, FNP-CNPI 1053762070

Title

Sole Member

Phone

(817) 897-7494

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald G Kimmel, FNP-C

  • Family Nurse Practitioner
  • Grapevine, TX
  • NPI 1053762070
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1881315075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 REMINGTON FALLS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762442296",
            "telephone_number": "817-888-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 CORONA DR STE 45",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115423",
            "telephone_number": "361-233-4100",
            "fax_number": "361-233-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS PAIN AND NEUROCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "817-897-7494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Texas Limb & Wound Care Center Inc
• South Texas Mental Health Associates, PA
• South Texas Mobile
• South Texas Mobile Physical Therapy
• South Texas Nurse Consulting and Staffing Serv
• South Texas Pain and Spine PLLC
• South Texas Pelvic Health
• South Texas Primary Care and Health Center PLLC
• South Texas Psychiatric Associates, P.a.
• South Texas Pulmonary and Critical Care Associates

• Interventional Pain Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.