Organization Active NPI

Neuroevaluation PLLC

  • Clinical Neurophysiology Physician
  • Conroe, TX
National Provider Identifier
1417538505
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
NEUROEVALUATION PLLC
Practice address
3786 FM 1488 Rd Ste 120
Conroe, TX 77384-4986
Phone
(281) 721-9667
Fax
(281) 781-2540
NPI assigned
Apr 20, 2021
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Jessen Mukalel
Title
Admin
Phone
(281) 721-9667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

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

Mailing address

400 Stonebrook Pkwy Ste 1104-260
Frisco, TX 75036-1179
Phone (281) 721-9667

National Provider Directory

National Provider Directory

Locations

3004 Communications Pkwy
Ste 200260
Plano, TX 75093

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1417538505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STONEBROOK PKWY STE 1104-260",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750361179",
            "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": "NEUROEVALUATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "MUKALEL",
        "authorized_official_first_name": "JESSEN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "281-721-9667"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.