Active NPI
Physician Anesthesia of Houston PLLC
- Anesthesiology Physician
- Spring, TX
National Provider Identifier
1659983161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PHYSICIAN ANESTHESIA OF HOUSTON PLLC
- Practice address
- 20635 Kuykendahl Rd
Spring, TX 77379-3533 - Phone
- (214) 390-7697
- Fax
- (888) 770-6360
- NPI assigned
- Aug 18, 2020
- 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
- Title
- Admin
- Phone
- (214) 390-7697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
20635 Kuykendahl Rd
Spring, TX 77379-3533
Mailing address
960 Ridgeview Dr Ste 140-186
Allen, TX 75013-5542
Phone (214) 390-7697
National Provider Directory
National Provider DirectoryLocations
960 Ridgeview Dr
Ste 140186
Allen, TX 75013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597708800000",
"number": "1659983161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 RIDGEVIEW DR STE 140-186",
"city": "ALLEN",
"state": "TX",
"postal_code": "750135542",
"telephone_number": "214-390-7697",
"fax_number": "888-770-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20635 KUYKENDAHL RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773793533",
"telephone_number": "214-390-7697",
"fax_number": "888-770-6360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN ANESTHESIA OF HOUSTON PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A",
"authorized_official_last_name": "MUKALEL",
"authorized_official_first_name": "JESSEN",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "214-390-7697"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.