Charles Polsen
Surgery of the Hand
2622 Marina Bay Drive
League City
, Texas 77573-6506
Charles Polsen
Surgery of the Hand
2622 Marina Bay Drive
League City
, Texas 77573-6506
(281) 535-2800
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Charles Polsen
- 2622 Marina Bay Drive
- League City, TX
- Zip : 77573-6506
- Fax : (281) 535-2800
- Phone : (281) 538-6600
Second Address
- Charles Polsen
- 2622 Marina Bay Drive
- League City, TX
- Zip : 77573-6506
- Fax : (281) 535-2800
- Phone : (281) 538-6600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | J2902 | TX |
National Provider Identifier
| NPI | 1801929195 |
|---|---|
| Provider Name | Charles Polsen |
| First Address | League City, TX 77573-6506 |
| Second Address | League City, TX 77573-6506 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2007 |
| Last Update Date | 14/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00084438 | DPS (01) | TX |
| BP3551543 | DEA (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.