MEDICARE: PAIGE TALBERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA18146	TX

General Provider Information

NPI Number	:	1679355937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE TALBERT

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:	254-215-9722

Provider Business Practice Location Address
First Line	:	520 DOUGLAS BLVD
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75702-8307
Country	:	US
Telephone Number	:	903-606-1721
Fax Number	:	903-592-5618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2023
Last Update Date	:	06/02/2026

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Directions to “ PAIGE TALBERT ” Practice Location

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