| NPI | 1841409281 |
|---|---|
| Former Legal Business Name | S.T.A.E.C. |
| Entity Type | Organization |
| Authorized Contact | CHARLES GEORGE POLSEN Doctor 281-538-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 2974) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |