SO TX. AESTHETIC ENHANCEMENT CENTER NPI 1841409281

NPI Information

NPI: 1841409281
Provider Name: SO, TX. AESTHETIC ENHANCEMENT CENTER

Former Legal Business Name: S.T.A.E.C.

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2525 S SHORE BLVD STE 201
LEAGUE CITY, TX
ZIP 77573
Phone: (281) 538-6600
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SO, TX. AESTHETIC ENHANCEMENT CENTER is an ambulatory surgical clinic center in League City, TX. SO, TX. AESTHETIC ENHANCEMENT CENTER NPI is 1841409281. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is S.t.a.e.c..

The provider's business location address is:

2525 S SHORE BLVD STE 201
LEAGUE CITY, TX
ZIP 77573-988
Phone: (281) 538-6600

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

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	2974	TEXAS	Yes

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: 5/5/2024

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