Individual
STEVEN WAYNE MEISELBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA, CSA
Contact information
Practice address
3406 HICKORY CREEK DR, PEARLAND, TX 77581-2453
(281) 412-7798
(281) 412-7798
Mailing address
PO BOX 901, PEARLAND, TX 77588-0901
(281) 412-7798
(281) 412-7798
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
SA00218
TX
363AS0400X
Surgical Physician Assistant
Primary
SA00218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N4574
BCBS PROVIDER
—
Enumeration date
02/06/2007
Last updated
10/24/2019
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