South Shore Surgicenter LLC
NPI #1336272665 in League City, Texas
Provider Information
- NPI Number
- 1336272665
- Entity Type
- Organization
- Organization Name
- South Shore Surgicenter LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Jan 2, 2013
Practice Location
- Address
- 2622 MARINA BAY DRIVE
- City
- League City
- State
- Texas
- ZIP Code
- 77573-6506
- Phone
- (281) 538-6600
Authorized Official
- Name
- CHARLES POLSEN, M.D.
- Title
- PROPRIETOR
- Phone
- (281) 538-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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