# CBL MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1144078148
- **Authorized official:** FNU FAYEZ MOHAMMED FAROOQUI (MANAGER)
- **Authorized official phone:** (888) 307-6759

## Contact information

- **Practice address:** 16255 PARK TEN PL STE 506, HOUSTON, TX 77084-5113
- **Practice address phone:** (888) 307-6759
- **Mailing address:** 16255 PARK TEN PL STE 506, HOUSTON, TX 77084-5113
- **Mailing address phone:** (346) 353-9191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2024
- **Last updated:** 10/21/2024