Provider Demographics
NPI:1376174094
Name:TIGER MEDICAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:TIGER MEDICAL TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JADALLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NAFAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-985-1008
Mailing Address - Street 1:1432 COTTONDALE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-4114
Mailing Address - Country:US
Mailing Address - Phone:214-985-1008
Mailing Address - Fax:
Practice Address - Street 1:1432 COTTONDALE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-4114
Practice Address - Country:US
Practice Address - Phone:214-985-1008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)