CREEKSIDE CRNA ANESTHESIA
NPI 1538810643
Nurse Anesthetist, Certified Registered in Conroe, TX

Q: What is Creekside Crna Anesthesia's NPI number?

The NPI number for Creekside Crna Anesthesia is 1538810643. It was assigned to this organization in the NPPES registry on January 11, 2022.

Q: What is Creekside Crna Anesthesia's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since January 11, 2022

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 28, 2025, Mar 7, 2024 and 2 more (5 updates tracked since 2022).

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About Creekside Crna Anesthesia NPPES

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

CREEKSIDE CRNA ANESTHESIA (NPI 1538810643) is a healthcare organization registered as a nurse anesthetist, certified registered in Conroe, Texas and active in the NPI registry since January 2022. The organization lists Jessen Mukalel, President, as its authorized official.

NPPES Registry Identity

NPI1538810643

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameCREEKSIDE CRNA ANESTHESIA

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

Mailing AddressPo Box 301980Dallas, TX 75303-1980 · (281) 721-9667 · Fax (281) 781-2540

Phone(281) 721-9667

Fax(281) 781-2540

Organization SubpartNo

Authorized OfficialJessen MukalelPresident · (281) 721-9667

Enumeration DateJanuary 11, 2022

Last NPPES UpdateMarch 20, 20265 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1538810643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

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.

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