# CHARLES G POLSEN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235461112
- **Authorized official:** CHARLES POLSEN III MD (OWNER)
- **Authorized official phone:** (281) 538-6600

## Contact information

- **Practice address:** 2622 MARINA BAY DR, LEAGUE CITY, TX 77573
- **Practice address phone:** (281) 538-6600
- **Mailing address:** 2622 MARINA BAY DR, LEAGUE CITY, TX 77573
- **Mailing address phone:** (281) 538-6600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | J2902 | TX | Yes |

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 06/25/2010