Individual
LAURA L TENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-2872
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-2872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11014025A
IN
207RH0003X
Hematology & Oncology Physician
Primary
Q0578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337188201
—
TX
01
—
337188202
CSHCN
TX
Enumeration date
06/08/2008
Last updated
10/27/2014
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