# J ENRIQUE TABARINI DDS MS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** J ENRIQUE TABARINI DDS MS PC
- **Other names:** Shadow Creek Medical Specialties
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104104009
- **Legal business name:** J ENRIQUE TABARINI DDS MS PC
- **Authorized official:** J ENRIQUE TABARINI DDS, MS (OWNER)
- **Authorized official phone:** (205) 617-6672

## Contact information

- **Practice address:** 11233 SHADOW CREEK PKWY, SUITE 121, PEARLAND, TX 77584-7345
- **Practice address phone:** (713) 436-0148
- **Practice address fax:** (713) 436-0892
- **Mailing address:** 11233 SHADOW CREEK PKWY, SUITE 121, PEARLAND, TX 77584-7345
- **Mailing address phone:** (713) 436-0148
- **Mailing address fax:** (713) 436-0892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 23794 | TX | Yes |

## Other

- **Enumeration date:** 07/26/2011
- **Last updated:** 12/15/2011