Organization Active NPI

Agape Wound Care Center Incorporated

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1710696224
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AGAPE WOUND CARE CENTER INCORPORATED
Practice address
10525 Vista del Sol Dr Ste 110
El Paso, TX 79925-7932
Phone
(915) 593-1887
Fax
(915) 599-4060
NPI assigned
Nov 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Sandra D Shults, MDNPI 1376739474
Title
Owner/Provider
Phone
(915) 996-5255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 971414
El Paso, TX 79997-1414
Phone (915) 996-5255

Other practice location 1

10400 Vista Del Sol Dr Ste 101
El Paso, TX 79925-7923
Phone (915) 996-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230504001109 TX Part B Supplier - Clinic/Group Practice 1254796840 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1710696224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971414",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799971414",
            "telephone_number": "915-996-5255",
            "fax_number": "203-290-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 VISTA DEL SOL DR STE 110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257932",
            "telephone_number": "915-593-1887",
            "fax_number": "915-599-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Vista Del Sol Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799257923",
            "country_code": "US",
            "telephone_number": "915-996-5255",
            "fax_number": "203-290-0704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGAPE WOUND CARE CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "SHULTS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "915-996-5255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.