Organization
DMEMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSEN MUKALEL MD (ADMIN)
(214) 390-7697
Entity
Organization
Contact information
Practice address
3786 FM 1488 RD STE 150, CONROE, TX 77384-4987
(214) 390-7697
(214) 432-6692
Mailing address
400 STONEBROOK PKWY STE 1104-211, FRISCO, TX 75036-1179
(214) 390-7697
(972) 432-6692
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
02/24/2025
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