Organization
WHITE TIGER ENTERPRISES, INC.
Active
Other names
Frontera Equipo Medico
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH GELMAN HMDR EXEMPTEE (MANAGER/SECRETARY)
(760) 357-2777
Entity
Organization
Contact information
Practice address
302 E 3RD ST, CALEXICO, CA 92231-2760
(760) 357-2777
(760) 357-2111
Mailing address
302 E 3RD ST, CALEXICO, CA 92231-2760
(760) 357-2777
(760) 357-2111
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
48116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48116
HMDR
CA
Enumeration date
11/08/2007
Last updated
03/19/2008
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