Individual
COREY EUGENE MEISENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, ACNP
Contact information
Practice address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
Mailing address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
634743
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP111012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619040367
BLUE CROSS BLUE SHIELD
TX
05
—
282222301
—
TX
05
—
282222302
—
TX
05
—
282222303
—
TX
01
—
845N84
BCBS
TX
01
—
8555ND
BCBS
TX
01
—
P01481722
RR MEDICARE
TX
Enumeration date
11/17/2006
Last updated
03/07/2023
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