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

Memorial Hospital San Augustine

Organization Specialist · NPI 1326095696

Memorial Hospital San Augustine is a Specialist in San Augustine, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
5

Practice location Address checks out

511 E Hospital St
San Augustine, TX 75972-2121
Phone: (936) 631-3474
Fax: (936) 631-3475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence K3986 (TX)
Specialist Taxonomy 174400000X · Licence G8896 (TX)
Specialist Taxonomy 174400000X · Licence L9581 (TX)
Specialist Taxonomy 174400000X · Licence G5444 (TX)
Specialist Taxonomy 174400000X · Licence F1233 (TX)

Record details

NPI number1326095696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fonda Sullivan — Insurance Supervisor · (936) 631-3474
NPI enumeratedMay 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address511 E Hospital St, San Augustine, TX 75972-2121