Teria Mullin, APN, CRNA | |
2540 N Galloway Ave Ste 303, Mesquite, TX 75150-4814 | |
(972) 779-0007 | |
(513) 987-9512 |
Full Name | Teria Mullin |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2540 N Galloway Ave Ste 303, Mesquite, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821322421 | NPI | - | NPPES |
209007935 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041.337943 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209007935 (Illinois) | Primary |
Entity Name | North American Partners In Anesthesia Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Mailing Address | Practice Location Address |
---|---|
Teria Mullin, APN, CRNA 5606 Smu Blvd, Po Box 602002, Dallas, TX 75206-9998 Ph: (708) 699-6688 | Teria Mullin, APN, CRNA 2540 N Galloway Ave Ste 303, Mesquite, TX 75150-4814 Ph: (972) 779-0007 |
William Layne Eddy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2694 N Galloway Ave, Suite 501, Mesquite, TX 75150 Phone: 972-681-2226 Fax: 972-681-7838 | |
Ms. Cheri Lyn Moore, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3500 Interstate 30 At Motley Dr., Mesquite, TX 75150 Phone: 972-698-2051 | |
Mrs. Sonya Vernice Blocker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1011 N Galloway Ave, Mesquite, TX 75149 Phone: 214-320-7006 | |
Jerrell Wayne Shaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 Interstate 30 Ste B240, Mesquite, TX 75150 Phone: 972-681-7246 Fax: 972-681-8946 | |
Alycia Dawn Andersson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 Motley Dr, Mesquite, TX 75150 Phone: 972-698-3300 | |
Ms. Sara L O'connor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2704 N Galloway Ave Ste 102, Mesquite, TX 75150 Phone: 972-961-7171 Fax: 636-537-0480 | |
Mr. John Michael Duke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 109 Toler Dr, Mesquite, TX 75149 Phone: 972-897-7099 |