Organization Active NPI

MD Anesthesia PLLC

  • Anesthesiology Physician
  • Conroe, TX
National Provider Identifier
1780225144
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
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

Updated by the provider on Feb 28, 2025

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.