NEUROCARE CENTRE OF NORTH TEXAS, PLLC


Address: 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382
Phone: (817) 488-0100

NEUROCARE CENTRE OF NORTH TEXAS, PLLC (NPI# 1104344688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104344688
Entity Type Organization
Organization Name NEUROCARE CENTRE OF NORTH TEXAS, PLLC
Practice Address 731 E Southlake Blvd Ste 170
Southlake
TX 76092-6382
Practice Telephone (817) 488-0100
Practice Fax Number 8882172697
Mailing Telephone 8174880100
Mailing Fax Number 8882172697
Enumeration Date 2017-09-05
Last Update Date 2018-03-15
Authorized Official Name DR. SIMON TAN (OWNER)
Authorized Official Telephone 9728779152
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0008X Psychiatry & Neurology
Specialization: Neuromuscular Medicine
L2023 TX Allopathic & Osteopathic Physicians
N 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
L2023 TX Allopathic & Osteopathic Physicians
N 2084P0301X Psychiatry & Neurology
Specialization: Brain Injury Medicine
L2023 TX Allopathic & Osteopathic Physicians
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
L2023 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 731 E SOUTHLAKE BLVD STE 170
City SOUTHLAKE
State TX
Zip Code 76092-6382

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326152851 Simon S Tan, Md Pa Psychiatry & Neurology 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 2006-08-19
1952958274 North Texas Brain and Wellness, Inc. Psychiatry & Neurology 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 2019-08-21
1508377441 Journey Tech Psychiatry & Neurology 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 2017-10-18
1033620976 Voyage Monitoring, Pllc Specialist 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 2017-10-18
1467961961 Kinsley Consulting LLC Surgery 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 2017-09-27
1720504780 Handsurg. Pllc Surgery 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 2017-08-21
1205244191 Manos Monitoring, Pllc Psychiatry & Neurology 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 2014-07-24
1871900183 Kara Michelle Kramer Nurse Practitioner 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 2014-07-18
1639351216 Dustin L. Ray Surgery 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 2007-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730718990 Elizabeth Beazley Family Medicine 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 2020-04-08
1518508894 Arbor Pediatrics, Pllc Pediatrics 1130 N Kimball Ave, Southlake, TX 76092 2019-10-08
1346882685 Gs Ortho Assists, Pllc Physician Assistant 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 2019-10-08
1609340496 Rebecca Leigh Lander Physician Assistant 1170 N Carroll Ave., Southlake, TX 76092 2019-01-15
1225506223 Physicians Wellness Associates Pllc Family Medicine 1920 East State Highway 114, Southlake, TX 76092 2018-11-07
1740762459 Brandi L. Barker Chiropractor 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 2018-08-30
1033699228 Julie A. Seeber Physical Therapy Assistant 170 Stonebridge Lane, Southlake, TX 76092 2018-08-16
1992281364 Alayna Powers Nurse Practitioner 900 E Southlake Blvd Ste 300, Southlake, TX 76092 2018-07-18
1346732153 Amrittej Singh Virk Dentist 630 N Kimball Ave Ste 110, Southlake, TX 76092 2018-06-06
1740779594 Radiant Family Dental Pllc Dentist 2012 Southlake Glen Dr., Southlake, TX 76092 2018-05-08
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy 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.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376602144 Asher S. Imam Psychiatry & Neurology 175 Stonebridge Ln Ste 100, Southlake, TX 76092-0307 2006-12-07
1326152851 Simon S Tan, Md Pa Psychiatry & Neurology 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 2006-08-19
1902878473 Shailesh C Vora Psychiatry & Neurology 2508 Sam School Rd, Southlake, TX 76092-1492 2006-02-07
1750381125 Joseph Steven Casaly Psychiatry & Neurology 109 River Oaks Dr Ste 150, Southlake, TX 76092-6764 2005-07-28
1720609811 Integrated Neurology and Neurophysiology of North Texas Psychiatry & Neurology 521 W Southlake Blvd Ste 100, Southlake, TX 76092-6173 2020-04-30
1538513973 Lindsey Anne Cunningham Psychiatry & Neurology 321 W Southlake Blvd, Suite 180, Southlake, TX 76092-6188 2016-04-22
1205244191 Manos Monitoring, Pllc Psychiatry & Neurology 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 2014-07-24
1437362480 Southlake Neurology And Psychiatry & Neurology 175 Stonebridge Ln Ste 100, Southlake, TX 76092-0307 2007-05-07
1811001365 Simon S Tan Psychiatry & Neurology 731 E Southlake Blvd, 170, Southlake, TX 76092-6377 2006-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366059230 Alla Al-habib Md Pllc Psychiatry & Neurology 981 Sh 121, Suite 3100, Allen, TX 75013 2020-09-25
1427669712 Nerve Track, Pllc Psychiatry & Neurology 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 2020-08-11
1013535020 Pearland Neurology Services, Pllc Psychiatry & Neurology 11914 Astoria Blvd Ste 400, Houston, TX 77089-6049 2020-07-07
1881219384 Pankhuri Banerjee Psychiatry & Neurology 301 University Blvd. -jsa 9.128, Galveston, TX 77555-0539 2020-06-10
1184247371 Integris Neuro Group LLC Psychiatry & Neurology 2012 Justin Rd Ste 200-a, Highland Village, TX 75077-7193 2020-05-21
1265055685 Schweta Parag Rane Psychiatry & Neurology 301 University Blvd. - Jsa9. 128, Galveston, TX 77555-0539 2020-05-20
1477175214 Vijaya Lakshmi Valaparla Psychiatry & Neurology Utmb - Neurology - Jsa 9.128 - Rt. 0539, 301 University Blvd, Galveston, TX 77555-0539 2020-05-14
1548895386 Robert William Bastien Psychiatry & Neurology 602 Catalina Cove Ln, La Marque, TX 77568-6577 2020-03-11
1740823772 Epilepsy and Neurology Care Specialists Pllc Psychiatry & Neurology 2406 Stirling Ave, Edinburg, TX 78539-2706 2019-10-22
1235797226 Apollo Monitoring Services, LLC Psychiatry & Neurology 1100 Glade Rd, Colleyville, TX 76034-4227 2019-06-04
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Competitor

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City SOUTHLAKE
Zip Code 76092

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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