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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 Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SIMON S TAN · (Male)

NPI Number 1811001365
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2006
Last updated 10/17/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • TX License # L2023
  • TX Medicaid 151996901
Hospital affiliation(s)
  • CHAMBERSBURG HOSPITAL - (Acute Care)
    112 NORTH SEVENTH STREET
    CHAMBERSBURG, PA 17201
  • HERITAGE VALLEY SEWICKLEY - (Acute Care)
    720 BLACKBURN ROAD
    SEWICKLEY, PA 15143
  • MEDICAL CENTER OF PLANO - (Acute Care)
    3901 W 15TH ST
    PLANO, TX 75075
  • TRIDENT MEDICAL CENTER - (Acute Care)
    9330 MEDICAL PLAZA DR
    CHARLESTON, SC 29406
  • YAKIMA VALLEY MEMORIAL HOSPITAL - (Acute Care)
    2811 TIETON DRIVE
    YAKIMA, WA 98902
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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