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Simon S Tan, MD
Neurology Physician in Southlake, Texas
NPI 1811001365

Simon S Tan is a Neurology Physician based in Southlake, TX and is specialized in Neurology. Simon S Tan practices in Southlake, TX and has the professional credentials of MD. The NPI Number for Simon S Tan is 1811001365 and holds a License No. L2023 (Texas).

The current practice location address for Simon S Tan is 241 W Southlake Blvd Ste 140, Southlake, TX and can be reached out via phone at 817-488-0100 and via fax at 817-488-4568.

Location: 241 W Southlake Blvd Ste 140, Southlake, TX, 76092-7041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811001365
Provider Name
Simon S Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
241 W Southlake Blvd Ste 140, Southlake, TX, 76092-7041
Phone Number
817-488-0100
Fax Number
817-488-4568
Provider Enumeration Date
08/19/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
151996901 05 TX
institution
Provider Business Practice Location Address Details
Address
241 W Southlake Blvd Ste 140
City
Southlake
State
Texas
Zip
76092-7041
Phone Number
817-488-0100
Fax Number
817-488-4568
person
Provider Business Mailing Address Details
Address
241 W Southlake Blvd Ste 140
City
Southlake
State
Texas
Zip
76092-7041
Phone Number
817-488-0100
Fax Number
817-488-4568
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neuromuscular Medicine
Taxonomy
2084N0008X
License No.
L2023 (Texas)
Definition
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
L2023 (Texas)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
L2023 (Texas)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Brain Injury Medicine
Taxonomy
2084P0301X
License No.
L2023 (Texas)
Definition
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
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