Tan, Simon S
Tan, Simon S is an sole proprietor health care provider with primary practice located at 241 W Southlake Blvd Ste 140 , Southlake TX 76092-7041. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Brain Injury Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Tan, Simon S can be contacted via phone (817) 488-0100.Contact Information
Primary practice address
241 W Southlake Blvd Ste 140
Southlake TX 76092-7041
Phone: (817) 488-0100
Fax: (817) 488-4568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2084N0008X | L2023 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | L2023 | Texas |
| Allopathic & Osteopathic Physicians / Brain Injury Medicine | 2084P0301X | L2023 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | L2023 | Texas |
Profile Details
| NPI number | 1811001365 |
|---|---|
| LBN Legal business name | Tan, Simon S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jun 4th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811001365 | NPPES |
| Texas | MEDICAID | 151996901 |
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