OrganizationActive
Memorial Hospital Polk County
NPI 1124075593 · Specialist · Livingston, TX
Provider details
- NPI number
- 1124075593
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Fonda Sullivan, Insurance Supervisor(936) 631-3474
- License
- H9325 (TX)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Other Service Providers
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1717 Highway 59 Loop N
Livingston, TX 77351-5703
Phone: (936) 631-3474
Fax: (936) 631-3475
Approximate (ZIP-level) locationGet directions
Mailing address
1717 Highway 59 Loop N
Livingston, TX 77351-5703
Other names (DBA / former)
- Other name
- Ekg Group
Registry dates
- Enumerated
- 2006-05-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.