1488 Painmd PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

1488 PAINMD PLLC

Practice address

3786 FM 1488 Rd Ste 120
Conroe, TX 77384-4986

Phone

(281) 721-9667

Fax

(281) 781-2540

NPI assigned

Jun 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessen Mukalel, MD

Title

President

Phone

(281) 721-9667

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1063257830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301976",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031976",
            "telephone_number": "281-721-9667",
            "fax_number": "281-781-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 FM 1488 RD STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844986",
            "telephone_number": "281-721-9667",
            "fax_number": "281-781-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1488 PAINMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "MUKALEL",
        "authorized_official_first_name": "JESSEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-721-9667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 105 Express Care of Conroe PLLC
• 1488 Dental Clinics Inc
• 1488 Family Medicine Group, PLLC
• 1488 Medical PLLC
• 1488 Urgent Care Clinic, LLC
• 24 Scarves Reliable Care Transportation
• 3083 Imaging LLC
• 3D&S Supreme Pharmacy
• 812 Tooth Care Corporation

• All providers in Conroe, TX
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.