National Provider Identifier Database

SIMON S TAN, MD – NPI #1811001365
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

SIMON S TAN, MD
731 E SOUTHLAKE BLVD
170
SOUTHALKE, TX76092
Phone: 817-488-0100
Fax: 817-488-4568
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Clinical Neurophysiology 2084N0600X
Neuromuscular Medicine 2084N0008X

* Indicates primary specialty

NPI Profile & details for SIMON S TAN

NPI Number 1811001365
Credentials MD
Entity Individual
Enumeration date 08/19/2006
Last updated 10/17/2025 - About 8 months ago
Sole proprietor1 No
Identifiers
  • TX License #: L2023
  • TX Medicaid: 151996901
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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