Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Neurocare Centre of North Texas, PLLC

Organization Neuromuscular Medicine (Psychiatry & Neurology) Physician · NPI 1104344688

Neurocare Centre of North Texas, PLLC is a Neuromuscular Medicine (Psychiatry & Neurology) Physician in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

731 E Southlake Blvd Ste 170
Southlake, TX 76092-6382
Phone: (817) 488-0100
Fax: (888) 217-2697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence L2023 (TX)
Neuromuscular Medicine (Psychiatry & Neurology) Physician Taxonomy 2084N0008X · Licence L2023 (TX)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence L2023 (TX)
Brain Injury Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P0301X · Licence L2023 (TX)

Record details

NPI number1104344688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simon Tan — Owner · (972) 877-9152
NPI enumeratedSeptember 5, 2017
Last updated in NPPESJuly 21, 2022
Mailing address731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382

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