| Doctor Name: | JOE ANTHONY TABAREZ |
| NPI Number: | 1992980270 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA17350 |
| Business Practice Address: | 88775 Avenue 76, Ste. 1 Thermal, CA - 922749407 |
| Business Phone Number: | 7603972501 |
| Business Fax Number: | |
| Mailing Address: | 196 W Legion Rd, BRAWLEY |
| State: | CA |
| Postal Code: | 922277713 |
| Phone Number: | 7603449093 |
| Fax Number: | 7603444309 |
| NPI Enumeration Date: | 01/04/2008 |
| NPI Last Update Date: | 05/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA17350 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |