MEDICARE: CAREONE WOUND SOLUTIONS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	291U00000X	Clinical Medical Laboratory
2	363LF0000X	Family Nurse Practitioner
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1902516792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREONE WOUND SOLUTIONS INC

Provider Business Mailing Address
First Line	:	400 STONEBROOK PKWY UNIT 201
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-1181
Country	:	US
Telephone Number	:	972-787-2710
Fax Number	:	214-387-1889

Provider Business Practice Location Address
First Line	:	400 STONEBROOK PKWY UNIT 201
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-1181
Country	:	US
Telephone Number	:	972-787-2710
Fax Number	:	214-387-1889

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	SHEEBA MATHAI
Credential	:	APRN, FNP-BC
Telephone Number	:	972-313-5017

Provider Enumeration Date	:	12/02/2022
Last Update Date	:	01/09/2025

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