Memorial Hospital Polk County
Specialist in Livingston, TX. Organization (NPI-2).
NPI number1124075593
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124075593
- Entity type
- Organization (NPI-2)
- Legal business name
- Memorial Hospital Polk County
- Organization subpart
- No
- Enumeration date
- May 30, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | L0081 | TX | Yes |
| 174400000X | Specialist | H9325 | TX | |
| 174400000X | Specialist | L9581 | TX | |
| 174400000X | Specialist | K3772 | TX | |
| 174400000X | Specialist | K2507 | TX |
Other names
- Ekg Group (Other Name)
Practice location
1717 Highway 59 Loop NLivingston, TX 77351-5703
Phone 936-631-3474 · Fax 936-631-3475
Mailing address
1717 Highway 59 Loop NLivingston, TX 77351-5703
Phone 936-631-3474 · Fax 936-631-3475
Authorized official
Fonda R Sullivan
Insurance Supervisor
9366313474
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Other Specialist providers in Livingston, TX
- Jerry D WoodNPI 1922294032
- Memorial Hospital Polk CountyNPI 1215984687
- Linda K RosemanNPI 1760664148
- Timothy Shane Shaw, M.D., P.A.NPI 1316930183
- Tiffani ValderezNPI 1508260464
- Verner O Nellsch MDNPI 1518088848
All 7 Specialist providers in Livingston · All 487 providers in Livingston
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