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Organization

AGAPE WOUND CARE CENTER INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA D SHULTS MD (OWNER/PROVIDER)
(915) 996-5255
Entity
Organization

Contact information

Practice address
1721A N LEE TREVINO DR STE 103, EL PASO, TX 79936-4521
(915) 996-5255
(915) 591-0615
Mailing address
PO BOX 971414, EL PASO, TX 79997-1414
(915) 996-5255
(915) 975-7997

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
11/23/2022
Last updated
08/23/2023
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