Organization
AGELESS U INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEEBA MATHAI FNP (OWNER)
(214) 387-1888
Entity
Organization
Contact information
Practice address
3648 OLD DENTON RD STE 110, CARROLLTON, TX 75007-7980
(214) 387-1888
(214) 387-1889
Mailing address
4625 PONY AVE, CARROLLTON, TX 75010-4970
(214) 387-1888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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