Creekside MD Anesthesia
Anesthesiology in Conroe, TX. Organization (NPI-2).
NPI number1740931344
StatusActive
Last updated in NPPESMar 20, 2026
Details
- NPI
- 1740931344
- Entity type
- Organization (NPI-2)
- Legal business name
- Creekside MD Anesthesia
- Organization subpart
- No
- Enumeration date
- Jan 14, 2022
- Certification date
- Mar 20, 2026
- Last updated
- Mar 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
3786 Fm 1488 Rd Ste 120Conroe, TX 77384-4986
Phone 214-390-7697 · Fax 972-432-6692
Mailing address
Po Box 301974Dallas, TX 75303-1974
Phone 281-721-9667 · Fax 281-781-2540
Authorized official
Jessen Mukalel
President
2817219667
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