Organization Active NPI

Creekside Crna Anesthesia

  • Certified Registered Nurse Anesthetist
  • Conroe, TX
National Provider Identifier
1538810643
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CREEKSIDE CRNA ANESTHESIA
Practice address
3786 FM 1488 Rd Ste 120
Conroe, TX 77384-4986
Phone
(281) 721-9667
Fax
(281) 781-2540
NPI assigned
Jan 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 301980
Dallas, TX 75303-1980
Phone (281) 721-9667

National Provider Directory

National Provider Directory

Locations

960 Ridgeview Dr
Ste 140290
Allen, TX 75013

3004 Communications Pkwy
Ste 200290
Plano, TX 75093

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1538810643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301980",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031980",
            "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": "CREEKSIDE CRNA ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "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": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "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 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.