OrganizationActive
San Augustine Family Practice PA
NPI 1043379597 · Family Medicine Physician · San Augustine, TX
Provider details
- NPI number
- 1043379597
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephanie Anderson, Billing & Collections(936) 275-9910
- License
- K1721 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 E Livingston St
San Augustine, TX 75972-2028
Phone: (936) 275-9910
Fax: (936) 275-9710
Street-level locationGet directions
Mailing address
200 E Livingston St
San Augustine, TX 75972-2028
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2007-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.