Simon S Tan, Md Pa | |
731 E Southlake Blvd Ste 170 Southlake TX 76092-6382 | |
(817) 488-0100 | |
(817) 488-4568 |
Full Name | Simon S Tan, Md Pa |
---|---|
Speciality | Psychiatry & Neurology |
Location | 731 E Southlake Blvd Ste 170, Southlake, Texas |
Authorized Official Name and Position | Simon Sy Tan (PRESIDENT) |
Authorized Official Contact | 8174880100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Simon S Tan, Md Pa 3600 William D Tate Ave Suite 200 Grapevine TX 76051-8723 Ph: (817) 488-0100 | Simon S Tan, Md Pa 731 E Southlake Blvd Ste 170 Southlake TX 76092-6382 Ph: (817) 488-0100 |
NPI Number | 1326152851 |
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Provider Enumeration Date | 08/19/2006 |
Last Update Date | 10/22/2018 |
Medicare PECOS PAC ID | 7315848918 |
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Medicare Enrollment ID | O20040116000465 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326152851 | NPI | - | NPPES |
0001JA | Other | TX | BCBS |
151996901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | L2023 (Texas) | Primary |
Provider Name | Simon Sy Tan |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1811001365 PECOS PAC ID: 2567363187 Enrollment ID: I20101008000268 |
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