Active NPIOrganization

1488 Painmd PLLC

Pain Medicine, Interventional Pain Medicine in Conroe, Texas

NPI Number1063257830
Practice location
3786 Fm 1488 RD Ste 120, Conroe, TX 77384-4986
Fax
281-781-2540
Last updated
March 20, 2026

1488 Painmd PLLC is a healthcare organization based in Conroe, TX. The NPI number for 1488 Painmd PLLC is 1063257830. The current practice location address is 3786 Fm 1488 RD Ste 120, Conroe, TX 77384-4986 and the office can be reached by phone at 281-721-9667 and by fax at 281-781-2540. The NPI was assigned on June 25, 2024 and the record was last updated in NPPES on March 20, 2026.

●Provider Profile Details

NPI Number
1063257830
Provider Name
1488 Painmd PLLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X
Organization Subpart
No
Authorized Official
Jessen Mukalel, MD · President · 281-721-9667
Enumeration Date
June 25, 2024
Last Update Date
March 20, 2026
Certification Date
March 20, 2026
NPI Status
Active

◉Business Practice Location Address

Address
3786 Fm 1488 RD Ste 120
Conroe, TX 77384-4986
City
Conroe
State
Texas
ZIP
77384-4986
Country
US
Phone Number
281-721-9667
Fax Number
281-781-2540

Get directions →

✉Business Mailing Address

Address
Po Box 301976
Dallas, TX 75303-1976
City
Dallas
State
TX
ZIP
75303-1976
Phone Number
281-721-9667
Fax Number
281-781-2540

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Pain Medicine, Interventional Pain Medicine
193200000X - Multi-Specialty Group
208VP0014XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of 1488 Painmd PLLC?

The NPI number of 1488 Painmd PLLC is 1063257830. It was assigned on June 25, 2024 and is currently active in the NPPES registry.

What is the specialty of 1488 Painmd PLLC?

1488 Painmd PLLC is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X).

Where does 1488 Painmd PLLC practice?

The practice location is 3786 Fm 1488 RD Ste 120, Conroe, TX 77384-4986. The office can be reached at 281-721-9667 (phone) or 281-781-2540 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063257830 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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