Individual ProviderTheresa Ann RutzNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705(512) 454-2454(972) 233-1999PECOS EnrollmentBased on the most recent information from CMS, provider Theresa Ann Rutz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1942283346Provider TypeIndividualFull NameRutz, Theresa AnnCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date11/21/2005Last Updated6/25/2020Contact InformationPractice LocationPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705Phone(512) 454-2454Fax(512) 454-1532Mailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-0853Phone(972) 233-1999Fax(972) 233-3666Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP101750TexasCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense39212Texas