Organization
ILLUME ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOMIN ZAFARULLAH (OWNER/AUTH OFFICIAL)
(210) 862-4199
Entity
Organization
Contact information
Practice address
3140 LEGACY DR STE 210, FRISCO, TX 75034-7961
(469) 234-8888
Mailing address
PO BOX 1889, MUNCIE, IN 47308-1889
(765) 284-0493
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
04/06/2026
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