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NPI Code Detail

MEDICARE: MRS. ROXANNE CITIZEN SANDEL LPN /LVN

MEDICARE: MRS. ROXANNE CITIZEN SANDEL LPN /LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator189826TX

General Provider Information

NPI Number : 1164700696
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROXANNE CITIZEN SANDEL LPN /LVN
Provider Business Mailing Address
First Line : 3918 ALMEDA GENOA RD
Second Line :
City : HOUSTON
State : TX
Zip : 77047-3840
Country : US
Telephone Number : 832-574-8979
Fax Number :
Provider Business Practice Location Address
First Line : 4141 SOUTHWEST FWY STE 510
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7334
Country : US
Telephone Number : 713-528-2079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2011
Last Update Date : 09/28/2025

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