Organization
CHARLES POLSEN MD PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES POLSEN MD (OWNER)
(281) 538-6600
Entity
Organization
Contact information
Practice address
2622 MARINA BAY DR, LEAGUE CITY, TX 77573-2758
(281) 538-6600
(281) 535-2800
Mailing address
2622 MARINA BAY DR, LEAGUE CITY, TX 77573-2758
(281) 538-6600
(281) 535-2800
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
J2902
TX
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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