# DMEMD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912502139
- **Authorized official:** JESSEN MUKALEL MD (ADMIN)
- **Authorized official phone:** (214) 390-7697

## Contact information

- **Practice address:** 3786 FM 1488 RD STE 150, CONROE, TX 77384-4987
- **Practice address phone:** (214) 390-7697
- **Practice address fax:** (214) 432-6692
- **Mailing address:** 400 STONEBROOK PKWY STE 1104-211, FRISCO, TX 75036-1179
- **Mailing address phone:** (214) 390-7697
- **Mailing address fax:** (972) 432-6692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2020
- **Last updated:** 02/24/2025