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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