Healthcare Provider Details

I. General information

NPI: 1326447236
Provider Name (Legal Business Name): TC ANESTHESIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2014
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9312 BRODIE LN
AUSTIN TX
78748-5176
US

IV. Provider business mailing address

3414 PEACHTREE RD NE STE 340
ATLANTA GA
30326-1137
US

V. Phone/Fax

Practice location:
  • Phone: 512-963-1428
  • Fax:
Mailing address:
  • Phone: 425-803-3885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JEFF L PERRY
Title or Position: VP OF RCM
Credential:
Phone: 502-418-4700