1488 Painmd PLLC
Pain Medicine, Interventional Pain Medicine in Conroe, TX. Organization (NPI-2).
NPI number1063257830
StatusActive
Last updated in NPPESMar 20, 2026
Details
- NPI
- 1063257830
- Entity type
- Organization (NPI-2)
- Legal business name
- 1488 Painmd PLLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Mar 20, 2026
- Last updated
- Mar 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Practice location
3786 Fm 1488 Rd Ste 120Conroe, TX 77384-4986
Phone 281-721-9667 · Fax 281-781-2540
Mailing address
Po Box 301976Dallas, TX 75303-1976
Phone 281-721-9667 · Fax 281-781-2540
Authorized official
Jessen Mukalel
President
2817219667
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