MEDICARE: THOMAS J HESS MD A PROF CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173000000X	Legal Medicine	10560	NV

General Provider Information

NPI Number	:	1205869435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS J HESS MD A PROF CORP

Provider Business Mailing Address
First Line	:	1641 E FLAMINGO RD STE 10
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5257
Country	:	US
Telephone Number	:	702-734-4377
Fax Number	:	702-369-8057

Provider Business Practice Location Address
First Line	:	1641 E FLAMINGO RD STE 10
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5257
Country	:	US
Telephone Number	:	702-734-4377
Fax Number	:	702-369-8057

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS JOSEPH HESS
Credential	:	MD
Telephone Number	:	702-734-4377

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	03/25/2008

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