NPI age
19 years
Enumerated 2006-08-19
● Active
Type 1 · Individual
Simon S Tan, MD
Tan is 1 of 12 psychiatry & neurology providers in Southlake and 1 of 1903 in Texas.
Primary specialty
Psychiatry & Neurology
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1903 active psychiatry & neurology providers in Texas.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
2
In the 34% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
241 W Southlake Blvd Ste 140
Southlake, TX 760927041
Mailing address
241 W Southlake Blvd Ste 140
Southlake, TX 760927041
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
206 S Coronado Ave
Espanola, NM 875322792
Location 3
6425 Living Pl Fl 2
Pittsburgh, PA 152065122
Location 4
10900 Ne 4th St Ste 2300
Bellevue, WA 980045882
Specialties
-
Psychiatry & Neurology PrimaryA 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.
-
Psychiatry & NeurologyA 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...
-
Psychiatry & NeurologyClinical 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 151996901 |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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