MEDICARE: FIRST-RATE ANESTHESIA INC.

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	367500000X	Certified Registered Nurse Anesthetist		IL

General Provider Information

NPI Number	:	1528586765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST-RATE ANESTHESIA INC.

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2540 N GALLOWAY AVE STE 303
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-4814
Country	:	US
Telephone Number	:	972-779-0007
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. TERIA MULLIN
Credential	:
Telephone Number	:	708-699-6688

Provider Enumeration Date	:	09/08/2017
Last Update Date	:	10/24/2024

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