1255471801 NPI number — MEISELBACH CSA SERVICES, INC.

Table of content: (NPI 1255471801)

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".