Simon S Tan, Md Pa

LBN: Simon S Tan, Md Pa
Simon S Tan, Md Pa is an health care organization with primary practice located at 731 E Southlake Blvd Ste 170 , Southlake TX 76092-6382. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Simon S Tan, Md Pa can be contacted via phone (817) 488-0100, or through Tan, Simon Sy via phone (817) 488-0100.

Contact Information

Primary practice address
731 E Southlake Blvd Ste 170 Southlake TX 76092-6382
Phone: (817) 488-0100
Fax: (817) 488-4568
Website:
Map and Directions
Authorized official contact:
Name: Tan, Simon Sy Doctor of Medicine (MD)
Phone: (817) 488-0100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X L2023 Texas

Profile Details

NPI number 1326152851
LBN Legal business name Simon S Tan, Md Pa
DBA Doing business as
Authorized official Tan, Simon Sy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Oct 22nd, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326152851 NPPES
Texas Other 0001JA BCBS
Texas MEDICAID 151996901 BCBS

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