| NPI | 1336272665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES POLSEN Proprietor 281-538-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130038) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-01-02 |