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Organization
SO, TX. AESTHETIC ENHANCEMENT CENTER
Active
Organization
SO, TX. AESTHETIC ENHANCEMENT CENTER
Active
Other names
S.T.A.E.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GEORGE POLSEN M.D. (DOCTOR)
(281) 538-6600
Entity
Organization
Contact information
Practice address
2525 S SHORE BLVD STE 201, LEAGUE CITY, TX 77573-2988
(281) 538-6600
Mailing address
2525 S SHORE BLVD STE 201, LEAGUE CITY, TX 77573-2988
(281) 538-6600
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2974
TX
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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