Active NPI
Creekside Crna Anesthesia
- Certified Registered Nurse Anesthetist
- Conroe, TX
National Provider Identifier
1538810643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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 DirectoryLocations
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.