Organization
NEUROCARE CENTRE OF NORTH TEXAS, PLLC
Active
Organization
NEUROCARE CENTRE OF NORTH TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON TAN MD (OWNER)
(972) 877-9152
Entity
Organization
Contact information
Practice address
731 E SOUTHLAKE BLVD STE 170, SOUTHLAKE, TX 76092-6382
(817) 488-0100
(888) 217-2697
Mailing address
731 E SOUTHLAKE BLVD STE 170, SOUTHLAKE, TX 76092-6382
(817) 488-0100
(888) 217-2697
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
L2023
TX
2084N0400X
Neurology Physician
Primary
L2023
TX
2084N0600X
Clinical Neurophysiology Physician
L2023
TX
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
L2023
TX
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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