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Organization

KATY ORTHO SUPPLIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR JEROME LEE (CEO)
(346) 470-4993
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
03/04/2025
Last updated
04/09/2025
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