PAINMD FOUNDATION NPI 1619722709

NPI Information

  • NPI: 1619722709
  • Provider Name: PAINMD FOUNDATION
  • Classification: Voluntary or Charitable - 251V00000X
  • Entity Type: Organization
  • Address: 3786 FM 1488 RD STE 150
    CONROE, TX
    ZIP 77384
  • Phone: (346) 275-5002

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NPI Details

PAINMD FOUNDATION is a voluntary or charitable in Conroe, TX. PAINMD FOUNDATION NPI is 1619722709. The provider is registered as an organization entity type.

The provider's business location address is:

3786 FM 1488 RD STE 150
CONROE, TX
ZIP 77384-987
Phone: (346) 275-5002

The provider's authorized official is Jessen Mukalel .
The authorized official title is Board Member and has the following contact phone number (346) 275-5002.

The enumeration date for this NPI number is 4/22/2024 and was last updated on 4/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251V00000XVoluntary or CharitableYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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