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1023698602

NPI Code Detail

MEDICARE: TESS LAURANA HILL MD

MEDICARE: TESS LAURANA HILL MD

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	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	W6256	TX
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1023698602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TESS LAURANA HILL MD

Provider Business Mailing Address
First Line	:	1723 N TAPER AVE
Second Line	:
City	:	SAN PEDRO
State	:	CA
Zip	:	90731-1155
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7703 FLOYD CURL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3901
Country	:	US
Telephone Number	:	210-450-0700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	05/18/2026

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Directions to “ TESS LAURANA HILL MD” Practice Location

Language	Start Address	Practice Location

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