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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