1488 PAINMD PLLC
NPI 1063257830
Pain Medicine - Interventional Pain Medicine in Conroe, TX

Q: What is 1488 Painmd PLLC's NPI number?

The NPI number for 1488 Painmd PLLC is 1063257830. It was assigned to this organization in the NPPES registry on June 25, 2024.

Q: What is 1488 Painmd PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for 1488 Painmd PLLC was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2024

3786 FM 1488 RD STE 120, CONROE, TX 77384(281) 721-9667(281) 781-2540 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2026, Feb 24, 2025, Jun 25, 2024 (3 updates tracked since 2024).

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About 1488 Painmd Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1488 PAINMD PLLC (NPI 1063257830) is a healthcare organization registered as an interventional pain medicine in Conroe, Texas and active in the NPI registry since June 2024. The organization lists Jessen Mukalel, President, as its authorized official.

NPPES Registry Identity

NPI1063257830

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business Name1488 PAINMD PLLC

Location Address3786 FM 1488 RD STE 120Conroe, TX 77384-4986

Mailing AddressPo Box 301976Dallas, TX 75303-1976 · (281) 721-9667 · Fax (281) 781-2540

Phone(281) 721-9667

Fax(281) 781-2540

Organization SubpartNo

Authorized OfficialJessen MukalelPresident · (281) 721-9667

Enumeration DateJune 25, 2024

Last NPPES UpdateMarch 20, 20263 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1063257830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

3786 FM 1488 RD STE 120, Conroe, TX 77384

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHOSPINE MD PLLC

Pain Medicine (Interventional Pain Medicine)