1255471801 NPI number — MEISELBACH CSA SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255471801 NPI number — MEISELBACH CSA SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEISELBACH CSA SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255471801
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 901
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PEARLAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77588-0901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-412-7798
Provider Business Mailing Address Fax Number:
281-412-7798

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3406 HICKORY CREEK DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PEARLAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77581-2453
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-412-7798
Provider Business Practice Location Address Fax Number:
281-412-7798
Provider Enumeration Date:
02/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MEISELBACH
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
GAIL
Authorized Official Title or Position:
CORPORATE SECRETARY
Authorized Official Telephone Number:
281-412-7798

Provider Taxonomy Codes

  • Taxonomy code: 246ZS0410X , with the licence number:  SA00218 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0007738220 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100855044809 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: AS80565770001 . This is a "CIGNA, AS AGENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2486761 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 03696 0255393 001 09 . This is a "BENEFIT PLANNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11009 . This is a "MHHS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 16876 0.3516AT 0.308 . This is a "TEXAS MUNICIPAL LEAGUE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 856577 . This is a "CIGNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0034JR . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 04166 3239619 001 09 . This is a "BENEFIT PLANNERS" identifier . This identifiers is of the category "OTHER".




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