Active NPI
Creekside MD Anesthesia
- Anesthesiology Physician
- Conroe, TX
National Provider Identifier
1740931344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- CREEKSIDE MD ANESTHESIA
- Practice address
- 3786 FM 1488 Rd Ste 120
Conroe, TX 77384-4986 - Phone
- (214) 390-7697
- Fax
- (972) 432-6692
- NPI assigned
- Jan 14, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
3786 FM 1488 Rd Ste 120
Conroe, TX 77384-4986
Mailing address
PO Box 301974
Dallas, TX 75303-1974
Phone (281) 721-9667
National Provider Directory
National Provider DirectoryLocations
960 Ridgeview Dr
Ste 140291
Allen, TX 75013
3004 Communications Pkwy
Ste 200291
Plano, TX 75093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773964800000",
"number": "1740931344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 301974",
"city": "DALLAS",
"state": "TX",
"postal_code": "753031974",
"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": "214-390-7697",
"fax_number": "972-432-6692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREEKSIDE MD ANESTHESIA",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-14",
"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": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"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.