Memorial Hospital Polk County
NPI #1215984687 in Livingston, Texas
Provider Information
- NPI Number
- 1215984687
- Entity Type
- Organization
- Organization Name
- Memorial Hospital Polk County
- Primary Specialty
- Specialist
- Enumeration Date
- May 30, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1717 HIGHWAY 59 LOOP N
- City
- Livingston
- State
- Texas
- ZIP Code
- 77351-5703
- Phone
- (936) 631-3474
Authorized Official
- Name
- FONDA R SULLIVAN
- Title
- INSURANCE SUPERVISOR
- Phone
- (936) 631-3474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Specialist |
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