Healthcare Provider Details

I. General information

NPI: 1255471801
Provider Name (Legal Business Name): MEISELBACH CSA SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3406 HICKORY CREEK DR
PEARLAND TX
77581-2453
US

IV. Provider business mailing address

PO BOX 901
PEARLAND TX
77588-0901
US

V. Phone/Fax

Practice location:
  • Phone: 281-412-7798
  • Fax: 281-412-7798
Mailing address:
  • Phone: 281-412-7798
  • Fax: 281-412-7798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License NumberSA00218
License Number StateTX

VIII. Authorized Official

Name: KAREN GAIL MEISELBACH
Title or Position: CORPORATE SECRETARY
Credential:
Phone: 281-412-7798