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

Memorial Hospital Polk County

Organization Specialist · NPI 1215984687

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

Licensed in
TX
In the registry since
2006
Specialties on file
8

Practice location Address checks out

1717 Highway 59 Loop N
Livingston, TX 77351-5703
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 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