Active NPI
MD Anesthesia PLLC
- Anesthesiology Physician
- Conroe, TX
National Provider Identifier
1780225144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MD ANESTHESIA PLLC
- Practice address
- 3786 FM 1488 Rd Ste 120
Conroe, TX 77384-4986 - Phone
- (214) 390-7697
- Fax
- (972) 432-6692
- NPI assigned
- Oct 7, 2019
- 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 J Mukalel
- Title
- Admin
- Phone
- (214) 390-7697
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
400 Stonebrook Pkwy Ste 1104-163
Frisco, TX 75036-1179
Phone (121) 439-0769
National Provider Directory
National Provider DirectoryLocations
960 Ridgeview Dr
Ste 140163
Allen, TX 75013
3004 Communications Pkwy
Ste 200163
Plano, TX 75093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740700800000",
"number": "1780225144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 STONEBROOK PKWY STE 1104-163",
"city": "FRISCO",
"state": "TX",
"postal_code": "750361179",
"telephone_number": "121-439-0769",
"fax_number": "972-432-6692"
},
{
"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": "MD ANESTHESIA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-07",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A",
"authorized_official_last_name": "MUKALEL",
"authorized_official_first_name": "JESSEN",
"authorized_official_middle_name": "J",
"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 Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.