NPI age
19 years
Enumerated 2007-03-14
● Active Type 2 · Organization
South Shore Surgicenter Llc
South Shore Surgicenter Llc is 1 of 1647 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Polsen
Proprietor
Last NPPES update
2013-01-02
Source: monthly bulk 2026-05
How this organization compares
Across 1647 active clinic/center providers in Texas.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2622 Marina Bay Drive
League City, TX 775736506
Mailing address
2622 Marina Bay Drive
League City, TX 775736506
Authorized official
Charles Polsen, M.D.
Proprietor
📞 2815386600
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | OOO2CU | BLUE CROSS/BLUE SHIELD OF TEXAS PROVIDER ID |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.