# ULTIMA MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578873287
- **Authorized official:** HIREN PATEL (OFFICE MANAGER)
- **Authorized official phone:** (732) 593-7325

## Contact information

- **Practice address:** 3880 PARKWOOD BLVD STE 301, FRISCO, TX 75034-1930
- **Practice address phone:** (214) 884-2658
- **Practice address fax:** (214) 884-2659
- **Mailing address:** 3880 PARKWOOD BLVD STE 301, FRISCO, TX 75034-1930
- **Mailing address phone:** (214) 884-2658
- **Mailing address fax:** (214) 884-2659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171WH0202X | Home Modifications Contractor | — | NULL | — |
| 171WH0202X | Home Modifications Contractor | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2010
- **Last updated:** 07/16/2025