CHARLES POLSEN MD PA LLC NPI 1659645083

NPI Information

  • NPI: 1659645083
  • Provider Name: CHARLES POLSEN MD PA LLC
  • Classification: Plastic Surgery - 2082S0105X
  • Specialization: Surgery of the Hand
  • Entity Type: Organization
  • Address: 2622 MARINA BAY DR
    LEAGUE CITY, TX
    ZIP 77573
  • Phone: (281) 538-6600

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NPI Details

CHARLES POLSEN MD PA LLC is a surgery of the hand plastic surgery in League City, TX. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. CHARLES POLSEN MD PA LLC NPI is 1659645083. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2622 MARINA BAY DR
LEAGUE CITY, TX
ZIP 77573-758
Phone: (281) 538-6600
Fax: (281) 535-2800

The provider's authorized official is Charles Polsen .
The authorized official title is Owner and has the following contact phone number (281) 538-6600.

The enumeration date for this NPI number is 3/2/2012 and was last updated on 3/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0105XPlastic SurgerySurgery of the HandJ2902TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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