Individual
STEVEN WAYNE MEISELBACH
Active
Individual
STEVEN WAYNE MEISELBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA, CSA
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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