=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437077492
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TBI NEUROLOGIC CONSULTING PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2026
-----------------------------------------------------
Last Update Date | 07/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9463 E TRAILSIDE VW
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85255-6009
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-413-9518
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 13090
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85267-3090
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-413-9518
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MANAGING MEMBER
-----------------------------------------------------
Name | YAZAN AL-HASAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 512-413-9518
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------