MEDICARE: SOUTH MED SUPPLIES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1952104937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH MED SUPPLIES LLC

Provider Business Mailing Address
First Line	:	2770 N LAKE FOREST DR
Second Line	:	APT 2117
City	:	MCKINNEY
State	:	TX
Zip	:	75071
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2770 N LAKE FOREST DR
Second Line	:	APT 2117
City	:	MCKINNEY
State	:	TX
Zip	:	75071
Country	:	US
Telephone Number	:	972-375-4568
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FARHANA MAZHAR
Credential	:
Telephone Number	:	972-375-4568

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	12/17/2025

Similar Medicare Providers

1891082327 — DR. ANTHONY TED CHUANG D.O.
Practice Location Address:

1820 N LAKE FOREST DR STE 300B
MCKINNEY, TX
75071-7653

Practice Phone: 214-613-5919
Practice Fax: 214-429-4421

1144554932 — FOUZIA JUNAID FNP
Practice Location Address:

1820 N LAKE FOREST DR STE 300
MCKINNEY, TX
75071-7653

Practice Phone: 940-442-5209
Practice Fax: 940-222-2720

1831725886 — ANAM BUTT
Practice Location Address:

1009 LONDON TOWN LN
MCKINNEY, TX
75071-0264

Practice Phone: 224-242-6300
Practice Fax:

1053275875 — SENTIENT IMAGING LLC
Practice Location Address:

1009 LONDON TOWN LN
MCKINNEY, TX
75071-0264

Practice Phone: 224-242-6620
Practice Fax:

1336672245 — NIVEDITA SUDHEKAR M.D.
Practice Location Address:

5252 W UNIVERSITY DR
MCKINNEY, TX
75071-7822

Practice Phone: 469-764-6950
Practice Fax:

1003779919 — CHRISTIAN CHANDLER MAYBREY
Practice Location Address:

5633 GROVE COVE DR
MCKINNEY, TX
75071-8344

Practice Phone: 469-200-0144
Practice Fax:

Directions to “SOUTH MED SUPPLIES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.