Provider Demographics
NPI:1164700696
Name:SANDEL, ROXANNE CITIZEN (LPN /LVN)
Entity Type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:CITIZEN
Last Name:SANDEL
Suffix:
Gender:F
Credentials:LPN /LVN
Other - Prefix:MISS
Other - First Name:ROXANNE
Other - Middle Name:CITIZEN
Other - Last Name:ARDOIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN /LVN
Mailing Address - Street 1:10101 FONDREN RD
Mailing Address - Street 2:SUITE 221
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4564
Mailing Address - Country:US
Mailing Address - Phone:832-574-8979
Mailing Address - Fax:
Practice Address - Street 1:10101 FONDREN RD
Practice Address - Street 2:SUITE 221
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4564
Practice Address - Country:US
Practice Address - Phone:832-574-8979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX189826171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator