Active NPI
Painmd Foundation
- Voluntary or Charitable Agency
- Conroe, TX
National Provider Identifier
1619722709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- PAINMD FOUNDATION
- Practice address
- 3786 FM 1488 Rd Ste 150
Conroe, TX 77384-4987 - Phone
- (346) 275-5002
- NPI assigned
- Apr 22, 2024
- 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
- Board Member
- Phone
- (346) 275-5002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
3786 FM 1488 Rd Ste 150
Conroe, TX 77384-4987
Mailing address
PO Box 133186
Spring, TX 77393-3186
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1619722709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 133186",
"city": "SPRING",
"state": "TX",
"postal_code": "773933186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3786 FM 1488 RD STE 150",
"city": "CONROE",
"state": "TX",
"postal_code": "773844987",
"telephone_number": "346-275-5002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAINMD FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "MUKALEL",
"authorized_official_first_name": "JESSEN",
"authorized_official_title_or_position": "BOARD MEMBER",
"authorized_official_telephone_number": "346-275-5002",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"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 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.