Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 23794 | TX |
NPI | 1003076076 |
---|---|
Provider Name | Dr. Enrique Tabarini |
First Address | The Woodlands, TX 77384-4192 |
Second Address | The Woodlands, TX 77384-4192 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2008 |
Last Update Date | 08/10/2021 |