Provider Demographics
NPI:1326697186
Name:HULS, SANDRA WENTZEL (APRN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:WENTZEL
Last Name:HULS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 LEA LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-9796
Mailing Address - Country:US
Mailing Address - Phone:740-296-9347
Mailing Address - Fax:
Practice Address - Street 1:1900 NORTH LOOP W STE 670
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8119
Practice Address - Country:US
Practice Address - Phone:281-673-4360
Practice Address - Fax:281-868-7036
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142488363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care