Provider Demographics
NPI:1902516792
Name:CAREONE WOUND SOLUTIONS INC
Entity Type:Organization
Organization Name:CAREONE WOUND SOLUTIONS INC
Other - Org Name:CAREONE MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEEBA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHAI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-BC
Authorized Official - Phone:972-787-2710
Mailing Address - Street 1:400 STONEBROOK PKWY UNIT 201
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-1181
Mailing Address - Country:US
Mailing Address - Phone:972-787-2710
Mailing Address - Fax:214-387-1889
Practice Address - Street 1:400 STONEBROOK PKWY UNIT 201
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-1181
Practice Address - Country:US
Practice Address - Phone:972-787-2710
Practice Address - Fax:214-387-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty