Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Illume Anesthesia PLLC

Organization Certified Registered Nurse Anesthetist · NPI 1114625902

Illume Anesthesia PLLC is a Certified Registered Nurse Anesthetist in Frisco, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3140 Legacy Dr Ste 210
Frisco, TX 75034-7961
Phone: (469) 234-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1114625902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Momin Zafarullah — Owner/Auth Official · (210) 862-4199
NPI enumeratedFebruary 21, 2023
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing addressPo Box 1889, Muncie, IN 47308-1889

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