Organization · NPI-2

Agape Wound Care Center Incorporated

Family Medicine · El Paso, TX

NPI number1710696224

StatusActive

Last updated in NPPESJul 29, 2026

Details

NPI: 1710696224
Entity type: Organization (NPI-2)
Legal business name: Agape Wound Care Center Incorporated
Organization subpart: No
Enumeration date: Nov 23, 2022
Certification date: Jul 29, 2026
Last updated: Jul 29, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes

Practice location

10525 Vista Del Sol Dr Ste 110
El Paso, TX 79925-7932

Phone 915-593-1887 · Fax 915-599-4060

Mailing address

Po Box 971414
El Paso, TX 79997-1414

Phone 915-996-5255 · Fax 203-290-0704

Other practice locations

10400 Vista Del Sol Dr Ste 101
El Paso, TX 79925-7923

Phone 915-996-5255 · Fax 203-290-0704

Authorized official

Sandra D Shults
Owner/Provider
9159965255

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