SOUTH SHORE SURGICENTER LLC
Ambulatory Health at Marina Bay Dr, League City, TX

License number
Texas 130038
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: CHARLES POLSEN M.D.
Title: PROPRIETOR
Phone: (281) 538-6600
Address
Address
2622 Marina Bay Dr, League City, TX 77573
National Provider ID: 1336272665
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOUTH SHORE SURGICENTER LLC at bizstanding.com

SOUTH SHORE SURGICENTER, LLC

League City, TX

Doing business as:
South Shore Surgicenter LLC
Registration:
Sep 2, 2011
Addresses:
2622 Marina Bay Dr, League City, TX 77573 (Mailing)
2525 S Shr Blvd, League City, TX 77573
State ID:
0801475175
Business type:
Domestic Limited Liability Company (LLC)
Members:
Charles G Polsen (PRESIDENT, Managing Member, Member), 430 Kirby Rd, Seabrook, TX 77586,Lori Polsen (Member),Bernabe Canlas (Member),...
Agent:
Charles G. Polsen,2622 Marina Bay Dr, League City, TX 77573 (Physical)
TIN:
32036003211

SOUTH SHORE HOLDINGS, LLC

2622 Marina Bay Dr, League City, TX 77573

Status:
Inactive
Doing business as:
South Shore Holdings, LLC<br>South Shore Surgicenter LLC
Registration:
Mar 2, 2010
State ID:
0801237284
MEMBER:
Charles G Polsen (MEMBER), 2525 S Shr Blvd 201, League City, TX 77573
TIN:
32041333660

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