Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Memorial Hospital Polk County

Organization Specialist · NPI 1215984687

Memorial Hospital Polk County is a Specialist in Livingston, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
8
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Practice location Address checks out

1717 Highway 59 Loop N
Livingston, TX 77351-5703
Phone: (936) 631-3474
Fax: (936) 631-3475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence L6696 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 237108 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 452164 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 656746 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 422854 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 033599 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 041553 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 048803 (TX)

Record details

NPI number1215984687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fonda Sullivan — Insurance Supervisor · (936) 631-3474
Other names Anesthesia Group
NPI enumeratedMay 30, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1717 Highway 59 Loop N, Livingston, TX 77351-5703

Other providers in Livingston