Provider Demographics
NPI:1679583983
Name:TALMAGE ENTERPRISES, INC.
Entity Type:Organization
Organization Name:TALMAGE ENTERPRISES, INC.
Other - Org Name:SOLE CENTRIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JEFFERY
Authorized Official - Last Name:TALMAGE
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:903-868-3100
Mailing Address - Street 1:PO BOX 2426
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75091-2426
Mailing Address - Country:US
Mailing Address - Phone:903-868-3100
Mailing Address - Fax:866-498-2390
Practice Address - Street 1:2616 N LOY LAKE RD
Practice Address - Street 2:SUITE A
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2535
Practice Address - Country:US
Practice Address - Phone:903-868-3100
Practice Address - Fax:866-498-2390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5746650001Medicare NSC