Organization
CLIFTON MEDICAL EQUIPMENT & SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN WORRON DURHAM (PRESIDENT)
(254) 326-1175
Entity
Organization
Contact information
Practice address
117 N AVENUE G, CLIFTON, TX 76634-1523
(254) 326-1175
(469) 854-2835
Mailing address
PO BOX 149, CLIFTON, TX 76634-0149
(254) 326-1175
(469) 854-2835
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000245
TX
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
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