# CLIFTON MEDICAL EQUIPMENT & SUPPLY INC

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

## Provider details

- **NPI number:** 1134450190
- **Authorized official:** DUSTIN WORRON DURHAM (PRESIDENT)
- **Authorized official phone:** (254) 326-1175

## Contact information

- **Practice address:** 117 N AVENUE G, CLIFTON, TX 76634-1523
- **Practice address phone:** (254) 326-1175
- **Practice address fax:** (469) 854-2835
- **Mailing address:** PO BOX 149, CLIFTON, TX 76634-0149
- **Mailing address phone:** (254) 326-1175
- **Mailing address fax:** (469) 854-2835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1000245 | TX | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | 1000245 | TX | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 1000245 | TX | — |

## Other

- **Enumeration date:** 01/14/2010
- **Last updated:** 01/14/2010