SHADOW CREEK MEDICAL SPECIALTIES – NPI #1104104009
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
SHADOW CREEK MEDICAL SPECIALTIES is an AHC clinic located in PEARLAND, TX. NPPES has assigned the NPI number 1104104009 to SHADOW CREEK MEDICAL SPECIALTIES on July 26, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHADOW CREEK MEDICAL SPECIALTIES” is a dba name, the actual legal business name for this organization is J ENRIQUE TABARINI DDS MS PC. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty
The NPI profile was previously updated about 14 years ago on Dec 15, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHADOW CREEK MEDICAL SPECIALTIES below.
NPI Profile for
J ENRIQUE TABARINI DDS MS PC
(about 15 years ago)
SUITE 121
PEARLAND, TX 77584-7345 Phone: (713) 436-0148 Fax: (713) 436-0892
OWNER
Phone: (205) 617-6672
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM2500X - Clinic/Center / Medical Specialty (Primary) |
TX | 23794 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.