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General NPI Number Information
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NPI Number | 1477471902
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Entity Type | Organization
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Legal Business Name | IOM PROFESSIONAL SERVICES, PLLC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 3786 FM 1488 RD STE 120
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City | CONROE
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State | TX
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Zip | 77384-4986
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Country | US
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Telephone | 281-721-9667
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Fax | 281-721-9667
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Provider Business Mailing Address
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Address Line | PO BOX 133186
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City | SPRING
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State | TX
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Zip | 77393-3186
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Country | US
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Telephone | 281-721-9667
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Fax | 281-721-9667
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Authorized Official
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Title or Position | PRESIDENT
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Name | JESSEN MUKALEL
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Credential |
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Telephone | 773-454-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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