MEDICARE: CBS MEDICAL SUPPLIES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	335E00000X	Prosthetic/Orthotic Supplier
2	261QM1300X	Multi-Specialty Clinic/Center
3	332BN1400X	Nursing Facility Supplies (DME)
4	335G00000X	Medical Foods Supplier
5	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
6	261QS1200X	Sleep Disorder Diagnostic Clinic/Center
7	332BC3200X	Customized Equipment (DME)
8	332BX2000X	Oxygen Equipment & Supplies (DME)
9	332BD1200X	Dialysis Equipment & Supplies (DME)
10	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1001968	OTHER	TX	TEXAS DEPT OF HEALTH & HUMAN SERVICES-MULTI LICENSE

General Provider Information

NPI Number	:	1639892037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CBS MEDICAL SUPPLIES, LLC

Provider Business Mailing Address
First Line	:	24430 INTERSTATE 45 STE B
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77386-2354
Country	:	US
Telephone Number	:	281-419-5530
Fax Number	:	281-990-6740

Provider Business Practice Location Address
First Line	:	24430 INTERSTATE 45 STE B
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77386-2354
Country	:	US
Telephone Number	:	281-419-5530
Fax Number	:	281-990-6740

Authorized Official
Title or Position	:	CEO
Name	:	ADRIENNE LEE SIERRA
Credential	:	CEO
Telephone Number	:	281-419-5530

Provider Enumeration Date	:	09/21/2022
Last Update Date	:	01/17/2026

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