# KATY ORTHO SUPPLIES LLC

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

## Provider details

- **NPI number:** 1356149652
- **Authorized official:** VICTOR JEROME LEE (CEO)
- **Authorized official phone:** (346) 470-4993

## Contact information

- **Practice address:** 4800 W 34TH ST STE C50K, HOUSTON, TX 77092-6663
- **Practice address phone:** (346) 470-4993
- **Practice address fax:** (437) 836-9717
- **Mailing address:** 14222 KIMBERLEY LN APT 467, HOUSTON, TX 77079-4820
- **Mailing address phone:** (346) 470-4993
- **Mailing address fax:** (437) 836-9717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2025
- **Last updated:** 04/09/2025