Active NPI
Agape Wound Care Center Incorporated
- Family Medicine Physician
- El Paso, TX
National Provider Identifier
1710696224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra D Shults, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- El Paso, TX
- NPI 1376739474
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.