Illume Anesthesia Pllc

NPI #1114625902 in Frisco, Texas

Provider Information

NPI Number
1114625902
Entity Type
Organization
Organization Name
Illume Anesthesia Pllc
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Feb 21, 2023
Last Updated
Feb 21, 2023

Practice Location

Address
3140 LEGACY DR STE 210
City
Frisco
State
Texas
ZIP Code
75034-7961
Phone
(469) 234-8888

Authorized Official

Name
MOMIN ZAFARULLAH
Title
OWNER/AUTH OFFICIAL
Phone
(504) 920-4729

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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