Organization
CHARLES G POLSEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES POLSEN III MD (OWNER)
(281) 538-6600
Entity
Organization
Contact information
Practice address
2622 MARINA BAY DR, LEAGUE CITY, TX 77573
(281) 538-6600
Mailing address
2622 MARINA BAY DR, LEAGUE CITY, TX 77573
(281) 538-6600
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
J2902
TX
Other
Enumeration date
02/03/2010
Last updated
06/25/2010
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